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613 N Pine St Ellensburg WA 98926-3121 | |
| (866) 904-7721 | |
| (509) 576-8685 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 613 N Pine St, Ellensburg, Washington |
| Authorized Official Name and Position | Kim A. Nelson (VP OF FINANCE) |
| Authorized Official Contact | 8669047721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1117 Tieton Dr Yakima WA 98902-3835 Ph: (866) 904-7721 | 613 N Pine St Ellensburg WA 98926-3121 Ph: (866) 904-7721 |
| NPI Number | 1003061920 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003061920 | NPI | - | NPPES |
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