| |
376 Se Highland Park Dr College Place WA 99324-1398 | |
(509) 529-0376 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 376 Se Highland Park Dr, College Place, Washington |
Authorized Official Name and Position | Yvonne E. Stratton (OWNER) |
Authorized Official Contact | 5095290376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
376 Se Highland Park Dr College Place WA 99324-1398 Ph: (509) 529-0376 | 376 Se Highland Park Dr College Place WA 99324-1398 Ph: (509) 529-0376 |
NPI Number | 1700986643 |
---|---|
Provider Enumeration Date | 09/22/2006 |
Last Update Date | 06/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700986643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Wwu Campus Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S College Ave, Suite 101, College Place, WA 99324 Phone: 509-527-2425 Fax: 509-527-2426 | |