Organization
AUSINK FAMILY MEDICINE LLC
Active
Other names
Ausink Family Medicine and Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R AUSINK PA-C (OWNER)
(509) 698-2520
Entity
Organization
Contact information
Practice address
105 W ORCHARD AVE STE 200, SELAH, WA 98942-1329
(509) 698-2520
(509) 698-2558
Mailing address
105 W ORCHARD AVE STE 200, SELAH, WA 98942-1329
(509) 698-2520
(509) 698-2558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604968950
BUSINESS LICENSE
WA
Enumeration date
10/10/2022
Last updated
02/03/2025
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