Healthcare Provider Details

I. General information

NPI: 1801909171
Provider Name (Legal Business Name): PEACEHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 DELAWARE ST
LONGVIEW WA
98632-2310
US

IV. Provider business mailing address

1115 SE 164TH AVE DEPT 364
VANCOUVER WA
98683-8004
US

V. Phone/Fax

Practice location:
  • Phone: 360-414-2000
  • Fax:
Mailing address:
  • Phone: 360-414-2092
  • Fax: 360-578-3367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberH-026
License Number StateWA

VIII. Authorized Official

Name: ARTHUR CRAIG SPRINGER II
Title or Position: SYS VP FIN INTEGRITY/CONTROLLER
Credential:
Phone: 360-729-1132