Individual provider · Type 1 NPI

Coleen Foreman, PAC

Medical Physician Assistant · Yakima, WA

NPI number 1396998001 Active

Practice location

3003 Tieton Dr, Suite 200
Yakima, WA 98902-3679

Fax (509) 454-7979

Mailing address

PO Box 2947
Yakima, WA 98907-2947

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60051163 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1396998001

Coleen Foreman, PAC's National Provider Identifier is 1396998001, issued on Oct 24, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Yakima, WA. The record was last updated on Nov 10, 2008.