BURDOIN MOUNTAIN MATERNITY CARE PLLC NPI 1407326978

NPI Information

  • NPI: 1407326978
  • Provider Name: BURDOIN MOUNTAIN MATERNITY CARE, PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: BURDOIN MOUNTAIN MEDICINE
  • Address: 181 W JEWETT BLVD
    WHITE SALMON, WA
    ZIP 98672
  • Phone: (509) 289-2119

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NPI Details

BURDOIN MOUNTAIN MATERNITY CARE, PLLC is a clinic center in White Salmon, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BURDOIN MOUNTAIN MATERNITY CARE, PLLC NPI is 1407326978. The provider is registered as an organization entity type.
The provider Is Doing Business As Burdoin Mountain Medicine.

The provider's business location address is:

181 W JEWETT BLVD
WHITE SALMON, WA
ZIP 98672-974
Phone: (509) 289-2119
Fax: (509) 493-1264

The provider's authorized official is Chardonnay Julia Vance .
The authorized official title is Physician, Owner and has the following contact phone number (509) 289-2119.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 5/2/2019.

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
1251E00000XHome HealthNo
2251G00000XHospice Care, Community BasedNo
3251K00000XPublic Health or WelfareNo
4251V00000XVoluntary or CharitableNo
5261QB0400XClinic/CenterBirthingNo
6261QC1500XClinic/CenterCommunity HealthNo
7261QP2300XClinic/CenterPrimary CareNo
8261QR1300XClinic/CenterRural HealthNo
9261QU0200XClinic/CenterUrgent CareNo
10261Q00000XClinic/CenterYes

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: 11/21/2025

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