| Columbia Basin Wellness Clinic, Inc. | |
|
115 W Hermiston Ave Suite 100 C Hermiston OR 97838-1746 | |
| (541) 667-8357 | |
| (541) 667-8357 |
| Full Name | Columbia Basin Wellness Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 115 W Hermiston Ave, Hermiston, Oregon |
| Authorized Official Name and Position | David Hinton (CLINIC DIRECTOR) |
| Authorized Official Contact | 5416671357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Wellness Clinic, Inc. 115 W Hermiston Ave Suite 100 C Hermiston OR 97838-1746 Ph: (541) 667-8357 | Columbia Basin Wellness Clinic, Inc. 115 W Hermiston Ave Suite 100 C Hermiston OR 97838-1746 Ph: (541) 667-8357 |
| NPI Number | 1194882100 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194882100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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