Walla Walla Clinic, Inc.

NPI #1063521862 in Milton Freewater, Oregon

Provider Information

NPI Number: 1063521862
Entity Type: Organization
Organization Name: Walla Walla Clinic, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: WALLA WALLA CLINIC, INC.
Primary Specialty: Clinic/Center
Enumeration Date: Aug 29, 2006
Last Updated: Dec 18, 2017

Practice Location

Address: 10 NE 5TH AVE
City: Milton Freewater
State: Oregon
ZIP Code: 97862-1702
Phone: (541) 938-3314

Authorized Official

Name: MR. KEVIN MICHELSON
Title: CEO
Phone: (509) 525-3720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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