White River Family Care LLC

NPI #1649394800 in Buckley, Washington

Provider Information

NPI Number: 1649394800
Entity Type: Organization
Organization Name: White River Family Care LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 16, 2007
Last Updated: Oct 4, 2018

Practice Location

Address: 305 N.RIVER AVE.
City: Buckley
State: Washington
ZIP Code: 98321
Phone: (360) 829-0625

Authorized Official

Name: CINDY JANE KRUIZENGA
Title: OFFICE MANAGER
Phone: (360) 829-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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