Healthcare Provider Details

I. General information

NPI: 1487516555
Provider Name (Legal Business Name): WESTERN MEDICAL RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 N 4TH AVE STE D102
PASCO WA
99301-3706
US

IV. Provider business mailing address

1016 N 4TH AVE STE D102
PASCO WA
99301-3706
US

V. Phone/Fax

Practice location:
  • Phone: 509-545-3564
  • Fax: 509-543-2920
Mailing address:
  • Phone: 509-545-3564
  • Fax: 509-543-2920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MITCHELL
Title or Position: PHYSICIAN ASSISTANT
Credential: PA-C
Phone: 509-545-3564