Washington Neurology, Inc | |
307 S 12th Ave Suite #17 Yakima WA 98902-3100 | |
(509) 969-9393 | |
Not Available |
Full Name | Washington Neurology, Inc |
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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 |
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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 |
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Provider Enumeration Date | 04/24/2015 |
Last Update Date | 04/24/2015 |
Medicare PECOS PAC ID | 4587979109 |
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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 |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477692416 PECOS PAC ID: 5193999126 Enrollment ID: I20121110000126 |
Provider Name | Tesa Linstad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952868713 PECOS PAC ID: 9931432747 Enrollment ID: I20190611001137 |
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