Individual
DIDI ELISE EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(098) 531-0825
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N5513
TX
207Q00000X
Family Medicine Physician
Primary
OP61670006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218566202
—
TX
05
—
2338961
—
WA
01
—
8DR747
BCBS
TX
01
—
P01488683
RAILROAD MEDICARE
TX
Enumeration date
04/20/2010
Last updated
08/14/2025
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