Organization

Yakima River Pain Management Ps

Pain Clinic/Center in Ellensburg, WA(View on Map)

Legal Business Name

Yakima River Pain Management Ps

NPI Number

1043559081

NPI Type

Organization

Enumeration Date

02/12/2013

Specialties

(Taxonomies)

Code

261QP3300X
174400000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

109 S WATER ST
109 S WATER ST

City

Ellensburg
Ellensburg

State

WA
WA

Postal Code

98926-3061
98926-3061

Country

US
US

Telephone Number

(509) 962-2273
(509) 962-2273

Authorized Official

Name

Mr. Gary Favero

Title or Position

OWNER/PRESIDENT

Telephone Number

(509) 962-2273

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2013

Provider Address