Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Marys Corner Medical Clinic Inc Ps

Organization Family Medicine Physician · NPI 1194973628

Marys Corner Medical Clinic Inc Ps provides Family Medicine Physician services in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4254 Jackson Hwy
Chehalis, WA 98532 Not confirmed with CMS for 14 years — call before visiting
Phone: (360) 262-3966
Fax: (360) 262-3967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00000823 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00039760 (WA)
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence OP00000823 (WA)
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence MD00039760 (WA)
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence AP30005675 (WA)
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence PA0004588 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10004588 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP30005675 (WA)

Record details

NPI number1194973628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Inglis — Office Manager · (360) 262-3966
Other names Marys Corner Medical Clinic
NPI enumeratedSeptember 9, 2008
Last updated in NPPESApril 30, 2012
Mailing address4254 Jackson Hwy., Chehalis, WA 98532

Other providers in Chehalis