Individual
GERALD R POFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T
Contact information
Practice address
211 EUCLID RD., GRANDVIEW, WA 98930-1160
(509) 882-7888
(509) 882-6588
Mailing address
1209 E EDISON AVE, SUNNYSIDE, WA 98944-2213
(509) 837-2528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2626PO
BLUE CROSS BLUE SHIELD
WA
05
—
8424681
—
WA
Enumeration date
08/10/2006
Last updated
07/08/2007
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