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WHITE RIVER FAMILY HEALTH CLINIC NPI 1871501742


NPI Information

NPI: 1871501742
Provider Name: WHITE RIVER FAMILY HEALTH CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D1046134

Address:
1340 M ST SE
SUITE A
AUBURN, WA
ZIP 98002
Phone: (253) 735-2777
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WHITE RIVER FAMILY HEALTH CLINIC is a family medicine in Auburn, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WHITE RIVER FAMILY HEALTH CLINIC NPI is 1871501742. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1340 M ST SE
SUITE A
AUBURN, WA
ZIP 98002-755
Phone: (253) 735-2777
Fax: (253) 735-4153

The provider's authorized official is Joel Felipe .
The authorized official title is Owner and has the following contact phone number (253) 735-2777.

The CLIA number assigned to this NPI record is 50D1046134 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2006 and was last updated on 4/10/2019.


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
1207Q00000XFamily MedicineMD00041957WASHINGTONYes

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: 5/5/2024

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