Full Name | |
---|---|
Speciality | Clinic/center |
Location | 528 Riverside Dr, Omak, Washington |
Authorized Official Name and Position | Lori E Carrillo (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 5098263747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 686 Omak WA 98841-0686 Ph: (509) 826-3747 | 528 Riverside Dr Omak WA 98841 Ph: (509) 826-3747 |
NPI Number | 1093192841 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 04/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093192841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | CH00003101 (Washington) | Primary |
Full Circle Health And Wellness Center Pllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-560-3928 | |