# YAKIMA OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY, PLLC

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

## Provider details

- **NPI number:** 1548416258
- **Authorized official:** DR. RICK D GROSS MD (PARTNER)
- **Authorized official phone:** (509) 575-7500

## Contact information

- **Practice address:** 307 S 12TH AVE, SUITE 12, YAKIMA, WA 98902-3100
- **Practice address phone:** (509) 575-7500
- **Practice address fax:** (509) 575-0333
- **Mailing address:** 307 S 12TH AVE, SUITE 12, YAKIMA, WA 98902-3100
- **Mailing address phone:** (509) 575-7500
- **Mailing address fax:** (509) 575-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 08/13/2008