# RIVERVIEW COSMETOGYNECOLOGY PLLC

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

## Provider details

- **NPI number:** 1215299060
- **Authorized official:** DR. TOMAS A HERNANDEZ-MEJIA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (509) 547-4724

## Contact information

- **Practice address:** 5908 BEDFORD ST, SUITE D, PASCO, WA 99301-6605
- **Practice address phone:** (509) 545-2118
- **Practice address fax:** (509) 547-4881
- **Mailing address:** 5908 BEDFORD ST, SUITE D, PASCO, WA 99301-6605
- **Mailing address phone:** (509) 545-2118
- **Mailing address fax:** (509) 547-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012