Organization
WASHINGTON NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WILKEY (HEALTHCARE CONSULTANT)
(858) 888-2160
Entity
Organization
Contact information
Practice address
307 S 12TH AVE, SUITE #17, YAKIMA, WA 98902-3100
(509) 969-9393
Mailing address
307 S 12TH AVE, SUITE #17, YAKIMA, WA 98902-3100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60295880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477692416
INDIVIDUAL NPI
—
01
—
MD60295880
MEDICAL LICENSE
WA
Enumeration date
04/24/2015
Last updated
04/24/2015
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