Provider Demographics
NPI:1710196985
Name:ARBOR HEALTHCARE FOR WOMEN PC
Entity Type:Organization
Organization Name:ARBOR HEALTHCARE FOR WOMEN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-943-0400
Mailing Address - Street 1:PO BOX 925
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0925
Mailing Address - Country:US
Mailing Address - Phone:509-943-0400
Mailing Address - Fax:509-946-5740
Practice Address - Street 1:800 SWIFT BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3549
Practice Address - Country:US
Practice Address - Phone:509-943-0400
Practice Address - Fax:509-946-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043823174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty