Provider Demographics
NPI:1942695580
Name:YAKIMA MEDICAL CONSULTANTS INC
Entity Type:Organization
Organization Name:YAKIMA MEDICAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:S.
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-966-9592
Mailing Address - Street 1:622 S 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3943
Mailing Address - Country:US
Mailing Address - Phone:509-966-9592
Mailing Address - Fax:509-966-8845
Practice Address - Street 1:622 S 36TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3943
Practice Address - Country:US
Practice Address - Phone:509-966-9592
Practice Address - Fax:509-966-8845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601482344261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty