Ppm Washington LLC
NPI #1568119204 in Clarkston, Washington
Provider Information
- NPI Number
- 1568119204
- Entity Type
- Organization
- Organization Name
- Ppm Washington LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 2, 2022
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 1370 BRIDGE ST
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2332
- Phone
- (208) 401-1400
Authorized Official
- Name
- AMBER L TUELLER
- Title
- SECRETARY
- Phone
- (208) 207-2726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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