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Organization
NORTHWEST CLINICAL SERVICES
Active
Organization
NORTHWEST CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIL EDWARDS PHARMD (OWNER)
(509) 339-7078
Entity
Organization
Contact information
Practice address
825 SE BISHOP BLVD STE 301C, PULLMAN, WA 99163-5517
(509) 339-7078
Mailing address
825 SE BISHOP BLVD STE 301C, PULLMAN, WA 99163-5517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251F00000X
Home Infusion Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
08/14/2020
Last updated
09/15/2022
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