Organization
YAKIMA VALLEY PROFESSIONAL SERVICES ON 12TH, PC
Active
Other names
Cornerstone Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE GEORGE (DIRECTOR OF FINANCE)
(509) 248-7849
Entity
Organization
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 248-3263
(509) 573-3818
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056922
—
WA
Enumeration date
05/17/2006
Last updated
11/21/2007
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