| Washington Neurology, Inc | |
|
307 S 12th Ave Suite #17 Yakima WA 98902-3100 | |
| (509) 969-9393 | |
| Not Available |
| Full Name | Washington Neurology, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 307 S 12th Ave, Yakima, Washington |
| Authorized Official Name and Position | Sarah Wilkey (HEALTHCARE CONSULTANT) |
| Authorized Official Contact | 8588882160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Neurology, Inc 307 S 12th Ave Suite #17 Yakima WA 98902-3100 Ph: () - | Washington Neurology, Inc 307 S 12th Ave Suite #17 Yakima WA 98902-3100 Ph: (509) 969-9393 |
| NPI Number | 1790172963 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 04/24/2015 |
| Medicare PECOS PAC ID | 4587979109 |
|---|---|
| Medicare Enrollment ID | O20150811006000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790172963 | NPI | - | NPPES |
| MD60295880 | Other | WA | MEDICAL LICENSE |
| 1477692416 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD60295880 (Washington) | Primary |
| Provider Name | Tony T Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477692416 PECOS PAC ID: 5193999126 Enrollment ID: I20121110000126 |
| Provider Name | Tesa Linstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952868713 PECOS PAC ID: 9931432747 Enrollment ID: I20190611001137 |
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