Provider Demographics
NPI:1477653566
Name:THREE FORKS ORTHOPAEDICS PC
Entity Type:Organization
Organization Name:THREE FORKS ORTHOPAEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:GRAEME
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-332-4149
Mailing Address - Street 1:1230 NE HICKMAN COURT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163
Mailing Address - Country:US
Mailing Address - Phone:509-332-4149
Mailing Address - Fax:509-332-1872
Practice Address - Street 1:1230 NE HICKMAN COURT
Practice Address - Street 2:SUITE 2
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163
Practice Address - Country:US
Practice Address - Phone:509-332-4149
Practice Address - Fax:509-332-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD25579207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty