Individual
JEFFREY M VENTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1470 N 16TH AVE, YAKIMA, WA 98902-1381
(509) 574-6000
(509) 225-2714
Mailing address
1470 N 16TH AVE, YAKIMA, WA 98902-1381
(509) 574-6000
(509) 225-2714
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60268782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293456
—
WA
Enumeration date
06/24/2008
Last updated
07/03/2012
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