Provider Demographics
NPI:1508403858
Name:NEW U WOMEN'S CLINIC & AESTHETICS PLLC
Entity Type:Organization
Organization Name:NEW U WOMEN'S CLINIC & AESTHETICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:GORHAM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-540-4308
Mailing Address - Street 1:35 S LOUISIANA ST
Mailing Address - Street 2:SUITE A120
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-491-1944
Mailing Address - Fax:
Practice Address - Street 1:35 S LOUISIANA ST
Practice Address - Street 2:SUITE A120
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-491-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular GeneticsGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty