Blue Mountain Family Health Pllc
NPI #1679649248 in Clarkston, Washington
Provider Information
- NPI Number
- 1679649248
- Entity Type
- Organization
- Organization Name
- Blue Mountain Family Health Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 27, 2006
- Last Updated
- May 21, 2024
Practice Location
- Address
- 1268 BRIDGE ST
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2219
- Phone
- (509) 751-5500
Authorized Official
- Name
- KEVIN JAMES BLACK
- Title
- ADMINISTRATOR
- Phone
- (509) 751-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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