# LEAVENWORTH FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1881248946
- **Authorized official:** DR. JESSICA BRIDGES ND (BUSINESS ADMINISTRATOR/PHYSICIAN)
- **Authorized official phone:** (509) 881-0722

## Contact information

- **Practice address:** 10090 MAIN ST APT H, PESHASTIN, WA 98847-9770
- **Practice address phone:** (509) 881-0722
- **Practice address fax:** (833) 450-1534
- **Mailing address:** 10090 MAIN ST APT H, PESHASTIN, WA 98847-9770
- **Mailing address phone:** (509) 881-0722
- **Mailing address fax:** (833) 450-1534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2019
- **Last updated:** 07/27/2019