Organization
TRI-CITIES DIGESTIVE HEALTH CENTER, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAYANIN BOONPONGMANEE (ADMINISTRATOR)
(509) 460-5500
Entity
Organization
Contact information
Practice address
8819 W VICTORIA AVE, KENNEWICK, WA 99336
(509) 460-5500
(509) 460-5111
Mailing address
8819 W VICTORIA AVE, KENNEWICK, WA 99336
(509) 460-5500
(509) 460-5111
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109432
—
WA
Enumeration date
11/13/2006
Last updated
11/08/2016
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