LOWER COLUMBIA HEAD NECK ASSOCIATES PC LONGVIEW, WA

Contact Information

LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

820 11TH AVE
LONGVIEW, WA 98632-2072

Phone: 360-423-0960
Fax: 360-423-8902
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Otolaryngic Allergy	207YX0602X	04	Physician/Otolaryngology
Otolaryngology	207Y00000X	04	Physician/Otolaryngology
Otolaryngology/Facial Plastic Surgery	207YX0905X	04	Physician/Otolaryngology
Pediatric Otolaryngology	207YP0228X	04	Physician/Otolaryngology
Plastic Surgery within the Head & Neck	207YX0007X	04	Physician/Otolaryngology
Sleep Medicine	207YS0012X	04	Physician/Otolaryngology

Indicates primary specialty

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NPI Profile & details for LOWER COLUMBIA HEAD NECK ASSOCIATES PC · (Female)

NPI #	`1215150313`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/10/2007
Last updated	09/11/2025 - About 9 months ago
Sole proprietor ¹	Not specified
Identifiers	WA License # MD00022010 WA Medicaid 7032030 WA Other 60170 L&I
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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LOWER COLUMBIA HEAD NECK ASSOCIATES PCOral & Maxillofacial Surgery

Contact Information

Specialty

Oral & Maxillofacial Surgery

Otolaryngic Allergy

Otolaryngology

Otolaryngology/Facial Plastic Surgery

Pediatric Otolaryngology

Plastic Surgery within the Head & Neck

Sleep Medicine

NPI Profile & details for LOWER COLUMBIA HEAD NECK ASSOCIATES PC · (Female)

Reviews for LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

LOWER COLUMBIA HEAD NECK ASSOCIATES PC
Oral & Maxillofacial Surgery