Organization
MEMORIAL PHYSICIANS, PLLC
Active
Other names
Yakima Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY REED (CHIEF OPERATING OFFICER)
(509) 248-7849
Entity
Organization
Contact information
Practice address
3003 TIETON DR, STE 350, YAKIMA, WA 98902-3679
(509) 453-3765
(509) 225-2709
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00022161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ2512
RAILROAD MEDICARE
WA
Enumeration date
07/21/2010
Last updated
11/25/2013
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