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2807 W Washington Ave Ste 117 Yakima WA 98903-1367 | |
(509) 469-1903 | |
(509) 469-1905 |
Full Name | |
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Speciality | Family Medicine |
Location | 2807 W Washington Ave Ste 117, Yakima, Washington |
Authorized Official Name and Position | Frederick Jarl Thysell (OWNER/DOCTOR) |
Authorized Official Contact | 5098233861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8051 Yakima WA 98908-0051 Ph: (509) 469-1903 | 2807 W Washington Ave Ste 117 Yakima WA 98903-1367 Ph: (509) 469-1903 |
NPI Number | 1255805628 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 01/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255805628 | NPI | - | NPPES |
1006757 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |