PPM WASHINGTON LLC

CLARKSTON, WA
NPI1568119204
Entity TypeOrganization
Authorized ContactLEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2022-03-02
Last Update Date2022-03-02
Business Address
PPM WASHINGTON LLC
1370 BRIDGE ST
CLARKSTON, WA 99403-2332
Phone number: 208-401-1400
Mailing Address
PPM WASHINGTON LLC
1675 E RIVERSIDE DR STE 200
EAGLE, ID 83616-7473
Phone number: 208-401-1400
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