Organization
NORTHWEST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN MOSS MD (OWNER)
(509) 972-2357
Entity
Organization
Contact information
Practice address
215 S 11TH AVE STE D, YAKIMA, WA 98902-3253
(509) 248-6192
(509) 965-0674
Mailing address
215 S 11TH AVE STE D, YAKIMA, WA 98902-3253
(509) 248-6192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00008347
WA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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