Organization
HEARTLINKS
Active
Organization
HEARTLINKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY ELAINE MOORE (EXECUTIVE DIRECTOR)
(509) 837-1676
Entity
Organization
Contact information
Practice address
204 W 2ND ST, GRANDVIEW, WA 98930-1361
(509) 837-1676
(509) 837-1990
Mailing address
204 W 2ND ST, GRANDVIEW, WA 98930-1361
(509) 837-1676
(509) 837-1990
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/28/2023
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