# OUR LADY OF LOURDES HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lourdes West Pasco
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659505840
- **Authorized official:** JOHN SERLE (CEO)
- **Authorized official phone:** (509) 543-2483

## Contact information

- **Practice address:** 7425 WRIGLEY DRIVE, PASCO, WA 99301
- **Practice address phone:** (509) 545-6220
- **Practice address fax:** (509) 545-6842
- **Mailing address:** 7425 WRIGLEY DRIVE, PASCO, WA 99301
- **Mailing address phone:** (509) 545-6220
- **Mailing address fax:** (509) 545-6842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 113003371 | WA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 113003371 | WA | — |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 08/12/2009