Search › Washington › 207RG0100X
Thammasak Mingbunjerdsuk
NPI 1720439490 · on the registry since 2016
Practice
- Address
- 1615 Delaware St
Longview, WA 98632 - Phone
- (360) 414-2000
- Fax
- (360) 414-7638
- Organisation at this address
- Peacehealth
Peacehealth
Peacehealth
Peacehealth
PeacehealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 261
Additional practice sites
- 3601 4th St, Lubbock, TX
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-27
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