Individual
HEATHER TACHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Mailing address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
(509) 522-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041684
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851354849
—
WA
01
—
G8912129
MEDICARE
WA
Enumeration date
04/10/2006
Last updated
03/24/2021
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