# YAKIMA VALLEY FARM WORKERS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YAKIMA VALLEY FARM WORKER CLINIC
- **Other names:** Rosewood Family Health Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336859875
- **Legal business name:** YAKIMA VALLEY FARM WORKER CLINIC
- **Authorized official:** RUSSELL HEATON (VP OF PHARMACY BUSINESS OPERATIONS)
- **Authorized official phone:** (509) 865-6175

## Contact information

- **Practice address:** 3530 SE 88TH AVE, PORTLAND, OR 97266-2396
- **Practice address phone:** (503) 772-8755
- **Practice address fax:** (503) 788-6464
- **Mailing address:** 2601 COMMERCE LN, YAKIMA, WA 98901-5801
- **Mailing address phone:** (509) 865-6175
- **Mailing address fax:** (509) 865-0840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2022
- **Last updated:** 06/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3847538 | NCPDP | WA |