Individual
MICHAEL JACOB COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3907 CREEKSIDE LOOP STE 100, YAKIMA, WA 98902-4879
(509) 895-7535
(509) 895-7355
Mailing address
3907 CREEKSIDE LOOP STE 100, YAKIMA, WA 98902-4879
(509) 895-7535
(509) 895-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61278492
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160223
—
WA
Enumeration date
06/01/2020
Last updated
10/18/2023
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