Organization
PROCARE FOR YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GOMEZ MA-C AAS (OFFICE MANAGER)
(509) 221-1039
Entity
Organization
Contact information
Practice address
805 S AUBURN ST, KENNEWICK, WA 99336-5661
(509) 221-1039
(509) 221-1135
Mailing address
805 S AUBURN ST, KENNEWICK, WA 99336-5661
(509) 221-1039
(509) 221-1135
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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