# UPPER COUNTY PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1639941156
- **Authorized official:** BOBBI BEARD DNP (OWNER)
- **Authorized official phone:** (425) 244-4121

## Contact information

- **Practice address:** 112 W RAILROAD ST STE 2, CLE ELUM, WA 98922-1131
- **Practice address phone:** (509) 620-5501
- **Mailing address:** PO BOX 1135, ROSLYN, WA 98941-0014
- **Mailing address phone:** (509) 620-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 11/07/2023