Organization · Type 2 NPI

Columbia River Primary Care and Aesthetics PLLC

Family Nurse Practitioner · Pasco, WA

NPI number 1366088601 Active

Practice location

3501 Road 68 Ste 4
Pasco, WA 99301-1973

Mailing address

PO Box 2651
Pasco, WA 99302-2651

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

About NPI 1366088601

Columbia River Primary Care and Aesthetics PLLC's National Provider Identifier is 1366088601, issued on Nov 21, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pasco, WA. The record was last updated on Feb 19, 2020.