Organization
WALLA WALLA CLINIC, INC.
Active
Parent organization
WALLA WALLA CLINIC, INC.
Other names
Walla Walla Clinic Milton-Freewater
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALLA WALLA CLINIC, INC.
Authorized official
MR. KEVIN MICHELSON (CEO)
(509) 525-3720
Entity
Organization
Contact information
Practice address
10 NE 5TH AVE, MILTON FREEWATER, OR 97862-1702
(541) 938-3314
(541) 938-4449
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
12/18/2017
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