| Theresa Whitchurch, | |
|
240 Division St, Grandview, WA 98930-1357 | |
| (509) 882-4700 | |
| (509) 882-6088 |
| Full Name | Theresa Whitchurch |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 240 Division St, Grandview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952965626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD61429360 (Washington) | Primary |
| Entity Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Whitchurch, 240 Division St, Grandview, WA 98930-1357 Ph: (509) 882-4700 | Theresa Whitchurch, 240 Division St, Grandview, WA 98930-1357 Ph: (509) 882-4700 |
Dr. Lisa Nguyen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-788-1702 Fax: 509-786-1022 | |
Blake J Bond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 Fax: 509-882-2049 | |
Bryan Santiago, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 N Euclid Rd, Grandview, WA 98930 Phone: 509-882-1855 | |
Cuong Dan Vien, Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 206-446-7018 | |
Ishkhan Amerkhanian, Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-788-1702 | |
Brandon Kenneth Lawrence, Family Medicine Medicare: Medicare Enrolled Practice Location: Grandview Medical-dental Clinic (gmdc) 1000 Wallace Way, Grandview, WA 98930 Phone: 509-788-1702 Fax: 509-786-1022 | |
Adam S Hoverman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-4275 Fax: 509-882-2049 |