| Columbia River Medical Center Pllc | |
|
1525 W Court St Pasco WA 99301 | |
| (509) 542-9285 | |
| (509) 545-0699 |
| Full Name | Columbia River Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 W Court St, Pasco, Washington |
| Authorized Official Name and Position | Daniel M Rodriguez (OFFICE MANAGER) |
| Authorized Official Contact | 5095429285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia River Medical Center Pllc 1525 W Court St Pasco WA 99301 Ph: (509) 542-9285 | Columbia River Medical Center Pllc 1525 W Court St Pasco WA 99301 Ph: (509) 542-9285 |
| NPI Number | 1902939945 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902939945 | NPI | - | NPPES |
| 7113780 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00024811 (Washington) | Primary |
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