Organization
CENTRAL WASHINGTON UNIVERSITY STUDENT HEALTH COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON S HORSLEY M.D. (MEDICAL DIRECTOR)
(509) 963-1874
Entity
Organization
Contact information
Practice address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7502
(509) 963-1626
(509) 963-1886
Mailing address
400 E. UNIVERSITY WAY, ELLENSBURG, WA 98926-7585
(509) 963-1626
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001258
—
WA
01
—
7900871
DSHS TAKE CHARGE
WA
Enumeration date
07/23/2007
Last updated
07/21/2022
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