# COLUMBIA REHAB AND PAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124209838
- **Authorized official:** MRS. JEAN YOU MD (PHYSICIAN)
- **Authorized official phone:** (509) 627-2848

## Contact information

- **Practice address:** 6917 W GRANDRIDGE BLVD STE B, KENNEWICK, WA 99336
- **Practice address phone:** (509) 627-2848
- **Practice address fax:** (509) 627-2849
- **Mailing address:** 6917 W GRANDRIDGE BLVD STE B, KENNEWICK, WA 99336
- **Mailing address phone:** (509) 627-2848
- **Mailing address fax:** (509) 627-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | MD00041323 | WA | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 12/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1116482 | — | WA |
