Provider Demographics
NPI:1780174706
Name:WEST HILL MEDICAL CLINIC INC
Entity type:Organization
Organization Name:WEST HILL MEDICAL CLINIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT ANTHONY
Authorized Official - Middle Name:LUGUE
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-363-1433
Mailing Address - Street 1:27115 MILITARY RD S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-7009
Mailing Address - Country:US
Mailing Address - Phone:253-850-8750
Mailing Address - Fax:253-850-8464
Practice Address - Street 1:27115 MILITARY RD S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7009
Practice Address - Country:US
Practice Address - Phone:253-850-8750
Practice Address - Fax:253-850-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60126973OtherLICENSE NUMBER