Organization
MEDICAL ASSOCIATES OF YAKIMA, LLC
Active
Other names
Selah Family Medicine Clinic INC., PS
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE GEORGE (DIRECTOR OF FINANCE)
(509) 248-7849
Entity
Organization
Contact information
Practice address
202 W NACHES AVE, SELAH, WA 98942-1326
(509) 697-5511
(509) 697-9313
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057060
—
WA
Enumeration date
04/01/2008
Last updated
06/20/2008
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