Organization
YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC
Active
Organization
YAKIMA VALLEY PROFESSIONAL SERVICES ON TIETON, PC
Active
Other names
Selah Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SIMMONS (DIRECTOR OF FINANCE)
(509) 248-7849
Entity
Organization
Contact information
Practice address
202 W NACHES AVE, SELAH, WA 98942-1326
(509) 697-5511
(509) 697-9313
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
12/31/2009
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