UPPER COUNTY PRIMARY CARE NPI 1639941156

NPI Information

  • NPI: 1639941156
  • Provider Name: UPPER COUNTY PRIMARY CARE
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • CLIA Number: 50D2304968
  • Address: 112 W RAILROAD ST STE 2
    CLE ELUM, WA
    ZIP 98922
  • Phone: (509) 620-5501

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NPI Details

UPPER COUNTY PRIMARY CARE is a gerontology nurse practitioner in Cle Elum, WA. UPPER COUNTY PRIMARY CARE NPI is 1639941156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

112 W RAILROAD ST STE 2
CLE ELUM, WA
ZIP 98922-131
Phone: (509) 620-5501

The provider's authorized official is Bobbi Beard .
The authorized official title is Owner and has the following contact phone number (425) 244-4121.

The CLIA number assigned to this NPI record is 50D2304968 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2023 and was last updated on 10/27/2023.

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
1363LG0600XNurse PractitionerGerontologyYes

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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