Organization
CORNERSTONE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL MICHELLE BRENNAN DO (BUSINESS OWNER, PEDIATRICIAN)
(817) 733-4691
Entity
Organization
Contact information
Practice address
955 SE 4TH ST STE B, HERMISTON, OR 97838-2666
(817) 733-4691
Mailing address
955 SE 4TH ST STE B, HERMISTON, OR 97838-2666
(817) 733-4691
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO172490
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689937
—
OR
Enumeration date
01/11/2017
Last updated
01/11/2017
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