Organization
THE VALLEY CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH JEAN NIELSEN (CLINIC MANAGER)
(509) 925-3151
Entity
Organization
Contact information
Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Mailing address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2520916959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7831308
—
WA
Enumeration date
06/13/2005
Last updated
08/22/2020
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