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3904 Terrace Heights Dr Ste D Yakima WA 98901-1568 | |
(509) 902-1931 | |
(509) 902-1970 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3904 Terrace Heights Dr Ste D, Yakima, Washington |
Authorized Official Name and Position | Philip Ryan Young (ARNP/CO-OWNER) |
Authorized Official Contact | 5099021931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3904 Terrace Heights Dr Ste D Yakima WA 98901-1568 Ph: (509) 902-1931 | 3904 Terrace Heights Dr Ste D Yakima WA 98901-1568 Ph: (509) 902-1931 |
NPI Number | 1134774326 |
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Provider Enumeration Date | 08/05/2019 |
Last Update Date | 08/13/2020 |
Medicare PECOS PAC ID | 3375875941 |
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Medicare Enrollment ID | O20191031000688 |
Identifier | Type | State | Issuer |
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1134774326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | William R Moultray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528089695 PECOS PAC ID: 3870535776 Enrollment ID: I20050601000229 |
Provider Name | Philip R Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699929505 PECOS PAC ID: 8729144928 Enrollment ID: I20090312000335 |
Provider Name | Tara L Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992027460 PECOS PAC ID: 4587792965 Enrollment ID: I20100505000458 |
Provider Name | Laura M Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578858114 PECOS PAC ID: 8426221953 Enrollment ID: I20111028000532 |
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 | |