| Pacific Rehabilitation Centers | |
|
821 E Broadway Ave Ste 11 Moses Lake WA 98837-5934 | |
| (425) 513-8509 | |
| (425) 290-9774 |
| Full Name | Pacific Rehabilitation Centers |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 821 E Broadway Ave Ste 11, Moses Lake, Washington |
| Authorized Official Name and Position | Mary E Spores (OWNER) |
| Authorized Official Contact | 4255138509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Rehabilitation Centers 9617 7th Ave Se Everett WA 98208-3710 Ph: (425) 513-8509 | Pacific Rehabilitation Centers 821 E Broadway Ave Ste 11 Moses Lake WA 98837-5934 Ph: (425) 513-8509 |
| NPI Number | 1104523109 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104523109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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