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Organization
YELM FAMILY MEDICINE, PLLC
Active
Organization
YELM FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA E LONGMIRE (MANAGER)
(360) 458-7761
Entity
Organization
Contact information
Practice address
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597-7735
(360) 458-7761
(360) 458-8316
Mailing address
201 TAHOMA BLVD SE, SUITE 102, YELM, WA 98597
(360) 458-7761
(360) 458-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62140
L&I
WA
05
—
7068828
—
WA
Enumeration date
05/19/2006
Last updated
07/31/2025
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