South Bend Clinic DBA Riverview Health Center
NPI #1750465365 in Raymond, Washington
Provider Information
- NPI Number
- 1750465365
- Entity Type
- Organization
- Organization Name
- South Bend Clinic DBA Riverview Health Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 300 OCEAN AVE
- City
- Raymond
- State
- Washington
- ZIP Code
- 98577-3016
- Phone
- (360) 942-3040
Authorized Official
- Name
- MRS. RHONDI R VAIL-LUSH
- Title
- MANAGER/CORPORATE SECRETARY
- Phone
- (360) 942-4562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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