Individual
LUIS D ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4001 TIETON DR, YAKIMA, WA 98908-3345
(509) 410-0746
(509) 410-0749
Mailing address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60325052
WA
Other
Enumeration date
09/16/2013
Last updated
06/10/2025
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