MOUNTAIN VIEW MEDICAL GROUP PLLC NPI 1134774326

NPI Information

MOUNTAIN VIEW MEDICAL GROUP, PLLC is a primary care clinic center in Yakima, WA. MOUNTAIN VIEW MEDICAL GROUP, PLLC NPI is 1134774326. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain View Medical Clinic.

The provider's business location address is:

3904 TERRACE HEIGHTS DR STE D
YAKIMA, WA
ZIP 98901-568
Phone: (509) 902-1931
Fax: (509) 902-1970

The provider's authorized official is Philip Ryan Young .
The authorized official title is Arnp/co-owner and has the following contact phone number (509) 902-1931.

The CLIA number assigned to this NPI record is 50D2171069 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2019 and was last updated on 8/13/2020.

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:

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