# YAKIMA VALLEY FARM WORKERS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLUMBIA BASIN PEDIATRIC DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144876905
- **Authorized official:** CHRISTINE TROTTER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (508) 865-6175

## Contact information

- **Practice address:** 7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
- **Practice address phone:** (509) 865-6175
- **Mailing address:** PO BOX 190, TOPPENISH, WA 98948-0190
- **Mailing address phone:** (509) 865-6175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 600304660 | BUSINESS LICENSE | WA |