Organization
MEMORIAL PHYSICIANS, PLLC
Active
Other names
Lakeview Spine
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY REED (CHIEF OPERATING OFFICER)
(509) 248-7849
Entity
Organization
Contact information
Practice address
100 E JACKSON AVE, SUITE 102, ELLENSBURG, WA 98926-3692
(509) 575-6000
(509) 225-2714
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 574-6000
(509) 225-2714
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
602902835
WA
Other
Enumeration date
04/04/2013
Last updated
04/27/2015
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