| |
317 Sanders Way Goldendale WA 98620-9059 | |
(541) 296-1111 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 317 Sanders Way, Goldendale, Washington |
Authorized Official Name and Position | Dennis Knox (CORPORATE OFFICER CEO) |
Authorized Official Contact | 5412967273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1520 The Dalles OR 97058-8003 Ph: (541) 506-6530 | 317 Sanders Way Goldendale WA 98620-9059 Ph: (541) 296-1111 |
NPI Number | 1679086516 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 06/19/2023 |
Identifier | Type | State | Issuer |
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1679086516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (Washington) | Primary |
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