Cascade Family Medical Clinic INC Ps
Family Medicine in Centralia, WA. Organization (NPI-2).
NPI number1376536136
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1376536136
- Entity type
- Organization (NPI-2)
- Legal business name
- Cascade Family Medical Clinic INC Ps
- Organization subpart
- No
- Enumeration date
- Aug 26, 2005
- Last updated
- Sep 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 600344469 | WA | Yes |
Practice location
1740 Cooks Hill RdCentralia, WA 98531-9071
Phone 360-736-7623 · Fax 360-736-4074
Mailing address
1740 Cooks Hill RdCentralia, WA 98531-9071
Phone 360-736-7623 · Fax 360-736-4074
Authorized official
Christopher L Yarter
President
3607367623
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