# AUSINK FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ausink Family Medicine and Walk In Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376268680
- **Authorized official:** TIMOTHY R AUSINK PA-C (OWNER)
- **Authorized official phone:** (509) 698-2520

## Contact information

- **Practice address:** 105 W ORCHARD AVE STE 200, SELAH, WA 98942-1329
- **Practice address phone:** (509) 698-2520
- **Practice address fax:** (509) 698-2558
- **Mailing address:** 105 W ORCHARD AVE STE 200, SELAH, WA 98942-1329
- **Mailing address phone:** (509) 698-2520
- **Mailing address fax:** (509) 698-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2022
- **Last updated:** 02/03/2025