Provider Demographics
NPI:1912961533
Name:GARFEIN, GEORGE S (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
Last Name:GARFEIN
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 1:1021 SOUTH 40TH AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3858
Mailing Address - Country:US
Mailing Address - Phone:509-965-1050
Mailing Address - Fax:509-965-0674
Practice Address - Street 1:1021 SOUTH 40TH AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3858
Practice Address - Country:US
Practice Address - Phone:509-965-1050
Practice Address - Fax:509-965-0674
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00012618208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1293406Medicaid
WA14627OtherLABOR & INDUSTRIES
A06554Medicare UPIN
WA14627OtherLABOR & INDUSTRIES