Organization · Type 2 NPI

Disruption Healthcare PLLC

Family Medicine Physician · Richland, WA

NPI number 1316715295 Active

Practice location

969 Stevens Dr Ste 3A
Richland, WA 99352-3558

Call (509) 713-1315 Map

Other practice locations

969 Stevens Dr Ste 1C, Richland, WA 99352-3557 · (509) 713-1315

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

Other family medicine physician providers in Richland

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NPI record

NPI: 1316715295
Entity type: Organization (Type 2)
Issued: Dec 19, 2023
Last updated: Oct 12, 2026
Status: Active

Other names

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Complex Care Center PLLC · doing business as
Complex Care Center PLLC · doing business as

Authorized official

Joseph Gaytan
Director of Revenue
(509) 713-1315

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316715295

Disruption Healthcare PLLC's National Provider Identifier is 1316715295, issued on Dec 19, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Richland, WA. The record was last updated on Oct 12, 2026.