Organization
AMBASSADOR'S HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIN D RUMMEL D.O. (OWNER)
(509) 395-2061
Entity
Organization
Contact information
Practice address
4 STOLLER RD, TROUT LAKE, WA 98650-9712
(509) 395-2061
Mailing address
4 STOLLER RD, TROUT LAKE, WA 98650-9712
(509) 395-2061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO157483
OR
363LF0000X
Family Nurse Practitioner
200750145NP
OR
Other
Enumeration date
03/27/2017
Last updated
05/13/2026
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