| Choice Family Medicine Llc | |
|
135 Thorne St Walla Walla WA 99362-3142 | |
| (509) 876-9707 | |
| (509) 955-1339 |
| Full Name | Choice Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Thorne St, Walla Walla, Washington |
| Authorized Official Name and Position | Christopher K Jenkins (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5098769707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Family Medicine Llc 135 Thorne St Walla Walla WA 99362-3142 Ph: (150) 952-95831 | Choice Family Medicine Llc 135 Thorne St Walla Walla WA 99362-3142 Ph: (509) 876-9707 |
| NPI Number | 1275057655 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 12/26/2018 |
| Medicare PECOS PAC ID | 7618243510 |
|---|---|
| Medicare Enrollment ID | O20171020000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275057655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher K Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962495994 PECOS PAC ID: 9436181369 Enrollment ID: I20050831000483 |
| Provider Name | Josue B Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649411729 PECOS PAC ID: 1951426642 Enrollment ID: I20100917001032 |
| Provider Name | Shannon Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073903357 PECOS PAC ID: 7810272101 Enrollment ID: I20170329001334 |
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