Organization · Type 2 NPI
Pullman Regional Hospital Clinic Network LLC
Rural Health Clinic/Center · Pullman, WA
NPI number
1063646107
Active
Practice location
1205 SE Pro Mall Blvd Ste 104
Pullman, WA 99163-5423
Fax (509) 332-6579
Mailing address
840 SE Bishop Blvd Ste 101
Pullman, WA 99163-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | 50-3922 (WA) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Pullman
About NPI 1063646107
Pullman Regional Hospital Clinic Network LLC's National Provider Identifier is 1063646107, issued on May 4, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Pullman, WA. The record was last updated on Sep 20, 2017.