# MEMORIAL PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306189741
- **Authorized official:** TIMOTHY REED (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (509) 248-7849

## Contact information

- **Practice address:** 100 E JACKSON AVE, SUITE 102, ELLENSBURG, WA 98926-3692
- **Practice address phone:** (509) 575-6000
- **Practice address fax:** (509) 225-2714
- **Mailing address:** 3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
- **Mailing address phone:** (509) 574-6000
- **Mailing address fax:** (509) 225-2714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 602902835 | WA | Yes |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 04/27/2015