MEMORIAL PHYSICIANS P.L.L.C. NPI 1124340229

NPI Information

NPI: 1124340229
Provider Name: MEMORIAL PHYSICIANS, P.L.L.C.

Doing Business As: PACIFIC CREST FAMILY MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
311 S 72ND AVE
YAKIMA, WA
ZIP 98908
Phone: (509) 972-1818
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MEMORIAL PHYSICIANS, P.L.L.C. is a multi-specialty clinic center in Yakima, WA. MEMORIAL PHYSICIANS, P.L.L.C. NPI is 1124340229. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Crest Family Medicine.

The provider's business location address is:

311 S 72ND AVE
YAKIMA, WA
ZIP 98908-661
Phone: (509) 972-1818
Fax: (509) 225-2706

The provider's authorized official is Timothy Reed .
The authorized official title is Chief Operating Officer and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 11/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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