Search › Washington › 152W00000X
Paul Nefedov
NPI 1487017075 · on the registry since 2016
Practice
- Address
- 600 Triangle Ctr Ste 400
Longview, WA 98632 - Phone
- (360) 423-0220
- Fax
- (360) 423-0697
- Organisation at this address
- University Professional Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2375 Ne Highway 99w, Mcminnville, OR
- 600 Triangle Ctr, Longivew, WA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- CA, WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington