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Organization

COLUMBIA POINT SPORTS REHABILITATION CLINIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD PAUL MORAN DC (CHIROPRACTOR)
(509) 452-0738
Entity
Organization

Contact information

Practice address
408 S 2ND ST, YAKIMA, WA 98901-2816
(509) 452-0738
(509) 452-0743
Mailing address
408 S 2ND ST, YAKIMA, WA 98901-2816
(509) 452-0738
(509) 452-0743

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0229212
LABOR AND INDUSTRIES
WA
Enumeration date
12/10/2007
Last updated
07/06/2020
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