Organization
KITTITAS COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LARSON MD (HEALTH OFFICER)
(509) 962-7515
Entity
Organization
Contact information
Practice address
507 N NANUM ST, SUITE 102, ELLENSBURG, WA 98926
(509) 962-7515
(509) 962-7581
Mailing address
507 N NANUM ST, SUITE 102, ELLENSBURG, WA 98926
(509) 962-7515
(509) 962-7581
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7305204
—
WA
05
—
7401169
—
WA
Enumeration date
12/05/2006
Last updated
06/20/2008
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