Individual
COLEEN FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3003 TIETON DR, SUITE 200, YAKIMA, WA 98902-3679
(509) 454-2229
(509) 454-7979
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60051163
WA
Other
Enumeration date
10/24/2008
Last updated
11/10/2008
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