Organization
PARKVIEW MEDICAL GROUP INC
Active
Parent organization
PARKVIEW MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKVIEW MEDICAL GROUP INC
Authorized official
DAWN MARIE BROSS (CLINIC MANAGER)
(509) 766-9450
Entity
Organization
Contact information
Practice address
615 S DIVISION ST STE A, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 766-1954
Mailing address
615 S DIVISION ST STE A, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 766-1954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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