Organization
COLUMBIA BASIN CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER KEVIN RAVAGE MD (OWNER MGR OF PLLC)
(509) 943-2781
Entity
Organization
Contact information
Practice address
945 STEVENS DR, RICHLAND, WA 99352-3508
(509) 943-2781
(509) 946-8590
Mailing address
945 STEVENS DR, RICHLAND, WA 99352-3508
(509) 943-2781
(509) 946-8590
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060050067
RAILROAD MEDICARE
—
05
—
1104561
—
WA
05
—
239010
—
OR
Enumeration date
07/31/2006
Last updated
06/19/2014
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