Organization
PIONEER FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH G KOBES-JURGENS MD (PRESIDENT/MANAGER)
(509) 276-8012
Entity
Organization
Contact information
Practice address
20 E J ST STE 2B, DEER PARK, WA 99006-8500
(509) 999-2123
Mailing address
PO BOX 1988, DEER PARK, WA 99006-1988
(509) 276-8012
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061253
—
WA
Enumeration date
06/15/2020
Last updated
03/07/2025
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