Organization
SNAKE RIVER ADULT MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FRANCIS CIEZKI ACNP (OWNER/OPERATOR)
(509) 295-8398
Entity
Organization
Contact information
Practice address
1625 5TH ST, CLARKSTON, WA 99403-3001
(509) 295-8398
(509) 295-8416
Mailing address
725 DIAGONAL ST, CLARKSTON, WA 99403-2043
(509) 295-8398
(509) 295-8416
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
604282863
WA
Other
Enumeration date
06/01/2018
Last updated
01/19/2022
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