Provider Demographics
NPI:1578661021
Name:EHLERS, RICHARD E (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:EHLERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 POWERHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-966-2253
Mailing Address - Fax:509-966-3768
Practice Address - Street 1:3403 POWERHOUSE RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-966-2253
Practice Address - Fax:509-966-3768
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023762207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1014828Medicaid
180043912OtherRAILROAD MEDICARE
WA95667OtherLABOR & INDUSTRIES
A06622Medicare UPIN
180043912OtherRAILROAD MEDICARE