# MEMORIAL PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Zillah Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780126177
- **Authorized official:** TIMOTHY REED (CFO, VP)
- **Authorized official phone:** (509) 248-7849

## Contact information

- **Practice address:** 616 RAILROAD AVE, SUITE 1 & 2, ZILLAH, WA 98953
- **Practice address phone:** (509) 972-1190
- **Practice address fax:** (509) 249-4458
- **Mailing address:** 3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
- **Mailing address phone:** (509) 248-7849
- **Mailing address fax:** (509) 248-8291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 602902835 | NULL | Yes |
| 207Q00000X | Family Medicine Physician | 602902835 | — | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 12/13/2016