YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON PC NPI 1760411912

NPI Information

YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC is a clinic center in Yakima, 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). YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC NPI is 1760411912. 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
Phone: (509) 972-1818
Fax: (509) 972-7842

The provider's authorized official is Jim Simmons .
The authorized official title is Director Of Finance and has the following contact phone number (509) 248-7849.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/19/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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