Organization
DISRUPTION HEALTHCARE PLLC
Active
Other names
Complex Care Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GAYTAN (REVENUE CYCLE MANAGER)
(509) 713-1315
Entity
Organization
Contact information
Practice address
969 STEVENS DR STE 3A, RICHLAND, WA 99352-3558
(509) 713-1315
Mailing address
969 STEVENS DR STE 3A, RICHLAND, WA 99352-3558
(509) 713-1315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
04/16/2026
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