| Palouse Pediatrics | |
|
1205 Se Professional Mall Blvd Ste 104 Pullman WA 99163-5423 | |
| (509) 332-2605 | |
| Not Available |
| Full Name | Palouse Pediatrics |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1205 Se Professional Mall Blvd Ste 104, Pullman, Washington |
| Authorized Official Name and Position | Matt Forge (CEO) |
| Authorized Official Contact | 5093367300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse Pediatrics 1205 Se Professional Mall Blvd Ste 104 Pullman WA 99163-5423 Ph: (509) 332-2605 | Palouse Pediatrics 1205 Se Professional Mall Blvd Ste 104 Pullman WA 99163-5423 Ph: (509) 332-2605 |
| NPI Number | 1285557652 |
|---|---|
| Provider Enumeration Date | 08/03/2026 |
| Last Update Date | 08/19/2026 |
| Certification Date | 08/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285557652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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