Organization
COLUMBIA RIVER MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M RODRIGUEZ (OFFICE MANAGER)
(509) 542-9285
Entity
Organization
Contact information
Practice address
1525 W COURT ST, PASCO, WA 99301
(509) 542-9285
(509) 545-0699
Mailing address
1525 W COURT ST, PASCO, WA 99301
(509) 542-9285
(509) 545-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113780
—
WA
Enumeration date
03/13/2007
Last updated
01/03/2013
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