Individual
CALEB BETTENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 BUSINESS LN, YAKIMA, WA 98901-1167
(509) 575-4800
Mailing address
2019 58TH AVE, YAKIMA, WA 98903-1194
(406) 218-1105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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