Organization
COLUMBIA VALLEY EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
3810 PLAZA WAY, KENNEWICK, WA 99338
(469) 401-2386
Mailing address
PO BOX 99104, LAS VEGAS, NV 89193-9104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122930
—
WA
Enumeration date
05/06/2006
Last updated
09/27/2023
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