# NEW LIFE OBGYN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Life Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558022103
- **Authorized official:** DR. RACHELLE SANJUAN CHAVEZ DO (OWNER)
- **Authorized official phone:** (509) 517-5777

## Contact information

- **Practice address:** 1006 S 64TH AVE STE 120, YAKIMA, WA 98908-2090
- **Practice address phone:** (509) 517-7777
- **Practice address fax:** (509) 317-9547
- **Mailing address:** 1006 S 64TH AVE STE 120, YAKIMA, WA 98908-2090
- **Mailing address phone:** (509) 517-5777
- **Mailing address fax:** (509) 317-9547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 10/28/2024