Kvh Family Medicine | |
317 Sanders Way Goldendale WA 98620-9053 | |
(509) 773-4022 | |
Not Available |
Full Name | Kvh Family Medicine |
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Speciality | Clinic/Center |
Location | 317 Sanders Way, Goldendale, Washington |
Authorized Official Name and Position | Leslie Hiebert (CEO) |
Authorized Official Contact | 5097734022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kvh Family Medicine 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 | Kvh Family Medicine 317 Sanders Way Goldendale WA 98620-9053 Ph: (509) 773-4022 |
NPI Number | 1467530915 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/20/2015 |
Medicare PECOS PAC ID | 0648164269 |
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Medicare Enrollment ID | O20040212000690 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467530915 | NPI | - | NPPES |
7076862 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 202000768 (Washington) | Primary |
Provider Name | Jeffery Chen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962470138 PECOS PAC ID: 2466448360 Enrollment ID: I20040426000009 |
Provider Name | Larry Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639131386 PECOS PAC ID: 8729061189 Enrollment ID: I20040608001113 |
Provider Name | Joan K Knight |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629151659 PECOS PAC ID: 2466422720 Enrollment ID: I20040727000022 |
Provider Name | David A Schlosser |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1659457125 PECOS PAC ID: 1658345343 Enrollment ID: I20040819001039 |
Provider Name | Nartnucha U Unhanand |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588610117 PECOS PAC ID: 9335047497 Enrollment ID: I20041004001001 |
Provider Name | William Brueggemann |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285716217 PECOS PAC ID: 6709862725 Enrollment ID: I20041110001100 |
Provider Name | William S Mcbride |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568480416 PECOS PAC ID: 9234194754 Enrollment ID: I20041124000079 |
Provider Name | Shona E Lowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598710840 PECOS PAC ID: 3779523162 Enrollment ID: I20050504001274 |
Provider Name | Mary C Klingner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225001852 PECOS PAC ID: 2264321801 Enrollment ID: I20050606000710 |
Provider Name | Thomas F Heston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861447245 PECOS PAC ID: 7315974490 Enrollment ID: I20050728000172 |
Provider Name | Mark W Livingston |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679656615 PECOS PAC ID: 4688605421 Enrollment ID: I20050822001211 |
Provider Name | Peter G Andress |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508819855 PECOS PAC ID: 5092727172 Enrollment ID: I20060609000061 |
Provider Name | Troy R Witherrite |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073550323 PECOS PAC ID: 9032113394 Enrollment ID: I20060830000020 |
Provider Name | Guenther E Muens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295779494 PECOS PAC ID: 8729087820 Enrollment ID: I20061219000568 |
Provider Name | Kevin A Ochoa |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942262118 PECOS PAC ID: 4082661244 Enrollment ID: I20070723000446 |
Provider Name | Kerry C Biermann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437299088 PECOS PAC ID: 8224922604 Enrollment ID: I20090715000130 |
Provider Name | Troy D Morrison |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164463303 PECOS PAC ID: 9133215437 Enrollment ID: I20090810000047 |
Provider Name | Todd J Baumeister |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1063403897 PECOS PAC ID: 4284770744 Enrollment ID: I20091014000212 |
Provider Name | Kevin S Wei |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1962418574 PECOS PAC ID: 0547285587 Enrollment ID: I20091113000397 |
Provider Name | Natalia A Luera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457527483 PECOS PAC ID: 1153461868 Enrollment ID: I20091210000339 |
Provider Name | Shayne P Blevins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538305057 PECOS PAC ID: 6507907540 Enrollment ID: I20100112000847 |
Provider Name | Samir Farris Bishai |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013944875 PECOS PAC ID: 7012059884 Enrollment ID: I20100118000217 |
Provider Name | James R Ogden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801964069 PECOS PAC ID: 2860523966 Enrollment ID: I20100707000291 |
Provider Name | Rebecca Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366593311 PECOS PAC ID: 2365576485 Enrollment ID: I20100811000642 |
Provider Name | Rodney A Krehbiel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366435703 PECOS PAC ID: 9436048915 Enrollment ID: I20110111000537 |
Provider Name | Shannon Servin Obert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285861989 PECOS PAC ID: 5294911186 Enrollment ID: I20110510000545 |
Provider Name | Wyatt H Rivas |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1083889737 PECOS PAC ID: 8921273012 Enrollment ID: I20111220000124 |
Provider Name | Edward H Piepmeier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467421156 PECOS PAC ID: 4385640820 Enrollment ID: I20120725000716 |
Provider Name | Stephen M Dechter |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1568635365 PECOS PAC ID: 2062652266 Enrollment ID: I20130711000767 |
Provider Name | Rachel V Hampton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588980429 PECOS PAC ID: 1153564745 Enrollment ID: I20130829000622 |
Provider Name | Christopher R Faison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033434964 PECOS PAC ID: 5496900052 Enrollment ID: I20140304000039 |
Provider Name | Bethany M Kapp |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1174734487 PECOS PAC ID: 3971652835 Enrollment ID: I20140529001286 |
Provider Name | Michael M Braun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598933012 PECOS PAC ID: 0840441820 Enrollment ID: I20140604002473 |
Provider Name | Thomas H Bigham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689642332 PECOS PAC ID: 6204826902 Enrollment ID: I20140819002805 |
Provider Name | Samuel M. Donohoe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073806865 PECOS PAC ID: 1759521727 Enrollment ID: I20140827000816 |
Provider Name | James A Morrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043360480 PECOS PAC ID: 7517871874 Enrollment ID: I20141015001678 |
Provider Name | Jacinto Orozco |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154373215 PECOS PAC ID: 0244221828 Enrollment ID: I20141114000901 |
Provider Name | Brooke M Frakes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013275866 PECOS PAC ID: 6709100548 Enrollment ID: I20150126002324 |
Provider Name | Russell M Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669440772 PECOS PAC ID: 7416273792 Enrollment ID: I20150304000307 |
Provider Name | Teresa Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699843920 PECOS PAC ID: 9335294743 Enrollment ID: I20150520002338 |
Provider Name | Jennifer L First |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366836728 PECOS PAC ID: 6901127968 Enrollment ID: I20150603001651 |
Provider Name | Nicole Marie Campbell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1154651925 PECOS PAC ID: 2860535523 Enrollment ID: I20150630003128 |
Provider Name | Randall Fryer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376599910 PECOS PAC ID: 9133107402 Enrollment ID: I20150729007862 |
Provider Name | Charles Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841272457 PECOS PAC ID: 8426098922 Enrollment ID: I20160420000719 |
Provider Name | Jared Shannon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730524604 PECOS PAC ID: 8820223746 Enrollment ID: I20160915000522 |
Provider Name | Nathan Armerding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104260496 PECOS PAC ID: 6002195849 Enrollment ID: I20161117002335 |
Provider Name | Kenneth Lindsey |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649454257 PECOS PAC ID: 1355337999 Enrollment ID: I20161129000985 |
Provider Name | Krystal L Plotts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386955441 PECOS PAC ID: 1759528656 Enrollment ID: I20161229000694 |
Provider Name | Khalid Jaboori |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114126562 PECOS PAC ID: 1052624335 Enrollment ID: I20170425001610 |
Provider Name | Steven Williamson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154364644 PECOS PAC ID: 9638146236 Enrollment ID: I20170524002900 |
Provider Name | Keith Edward Petersen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356615470 PECOS PAC ID: 0749592327 Enrollment ID: I20170529000058 |
Provider Name | Vicki Mazzorana |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609821180 PECOS PAC ID: 5991798092 Enrollment ID: I20170725004440 |
Provider Name | John Barrett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598854853 PECOS PAC ID: 6507007143 Enrollment ID: I20170804001572 |
Provider Name | Tyler Jeremy Raymond |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952698037 PECOS PAC ID: 0244472884 Enrollment ID: I20170824003808 |
Provider Name | Deborah L. Cahill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578854188 PECOS PAC ID: 9335360791 Enrollment ID: I20181023003333 |
Provider Name | Skylar L Newkirk |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558870832 PECOS PAC ID: 9931452893 Enrollment ID: I20181024000224 |
Provider Name | Kenneth W Hegewald |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1427344563 PECOS PAC ID: 0547486391 Enrollment ID: I20181115001661 |
Provider Name | Eric D Gallagher |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1821433863 PECOS PAC ID: 1658501440 Enrollment ID: I20181115002386 |
Provider Name | William Brad Farris |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598105454 PECOS PAC ID: 9638462427 Enrollment ID: I20190617001445 |
Provider Name | Christopher Ashton Waters |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407122641 PECOS PAC ID: 1658525126 Enrollment ID: I20190717002315 |
Provider Name | Mary Elizabeth Kazee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922412840 PECOS PAC ID: 8527332600 Enrollment ID: I20191009001100 |
Provider Name | Arnold Cha |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811320179 PECOS PAC ID: 0749505998 Enrollment ID: I20191108002249 |
Provider Name | Tamela Cook-mobley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699216192 PECOS PAC ID: 0143599613 Enrollment ID: I20200115001097 |
Provider Name | Amy E Tan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1235176611 PECOS PAC ID: 3577542877 Enrollment ID: I20200309001408 |
Provider Name | Jeffrey Shigeru Tanita |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1922040443 PECOS PAC ID: 1850314469 Enrollment ID: I20200406000356 |
Provider Name | Barbara Jean Macgillivray |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1679108609 PECOS PAC ID: 8820428600 Enrollment ID: I20200417002548 |
Provider Name | James Wickerath |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780610915 PECOS PAC ID: 5991928962 Enrollment ID: I20200420000560 |
Provider Name | Anne Marie Mclellan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548590813 PECOS PAC ID: 6800066291 Enrollment ID: I20200521000324 |
Provider Name | Kimberley A Maxwell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619222692 PECOS PAC ID: 5092137026 Enrollment ID: I20200622001235 |
Provider Name | Catherine A Gruchacz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205832490 PECOS PAC ID: 4880584713 Enrollment ID: I20200916000710 |
Provider Name | Amita Madan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114532538 PECOS PAC ID: 2264843473 Enrollment ID: I20201119000723 |
Provider Name | Gerald Yutzy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821049420 PECOS PAC ID: 3779479332 Enrollment ID: I20201201002228 |
Provider Name | Jacob Matthew Ernst |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013377084 PECOS PAC ID: 9638586381 Enrollment ID: I20210325001972 |
Provider Name | Weichin Chen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841497260 PECOS PAC ID: 6002053725 Enrollment ID: I20210910002245 |
Provider Name | Anusha R Iyer |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1275065476 PECOS PAC ID: 5496094328 Enrollment ID: I20220119001937 |
Provider Name | Dikshya Sharma |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20220406000780 |
Provider Name | Darshan R Dhingani |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20220517001304 |
Provider Name | Johannah Gregg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790456895 PECOS PAC ID: 7618375080 Enrollment ID: I20220608000533 |
Provider Name | Dallas D Regan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20221028000455 |
Provider Name | Andrietta Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20230223002107 |
Provider Name | Camille Reyes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851796783 PECOS PAC ID: 3678946472 Enrollment ID: I20230227000155 |
Provider Name | Erika Maria Moseson |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1790010387 PECOS PAC ID: 9133305337 Enrollment ID: I20230425000229 |
Provider Name | Rachel Sonne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023300431 PECOS PAC ID: 7517112105 Enrollment ID: I20230831000500 |
Provider Name | Salil Kalra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20231019002142 |
Provider Name | Gregory Evans |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1073788816 PECOS PAC ID: 6800039355 Enrollment ID: I20231019002783 |
Provider Name | Ajit Nandkumar Chary |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20231020000235 |
Provider Name | Akinyinka Abidem Ajelabi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20231109003141 |
Provider Name | Alyson L Redman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114120680 PECOS PAC ID: 9335232487 Enrollment ID: I20231113001686 |
Provider Name | Jose Maria Ochoa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20231121000892 |
Provider Name | Alison E Burke |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588154165 PECOS PAC ID: 3072995695 Enrollment ID: I20240110001251 |
Provider Name | Jennifer L Bomberger |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871855221 PECOS PAC ID: 7214371210 Enrollment ID: I20240218000141 |
Provider Name | John J Nebeker |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356088702 PECOS PAC ID: 3274970751 Enrollment ID: I20240319003753 |
Kvh Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 509-773-4017 Fax: 509-773-1941 | |
Serenity Health Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 S Grant St, Goldendale, WA 98620 Phone: 509-314-0373 Fax: 888-611-7881 | |
K-c Pharmacy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Goldendale, WA 98620 Phone: 509-773-4344 | |
K-c Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Goldendale, WA 98620 Phone: 509-773-4344 Fax: 509-773-4555 | |
Klickitat Valley Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Roosevelt Ave, Goldendale, WA 98620 Phone: 509-773-4022 Fax: 509-773-1941 | |
Mcmc Specialties Goldendale Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 541-296-1111 |