Healthcare Provider Details

I. General information

NPI: 1043397052
Provider Name (Legal Business Name): LOURDES OCCUPATIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9915 SANDIFUR PKWY
PASCO WA
99301-8941
US

IV. Provider business mailing address

9915 SANDIFUR PKWY
PASCO WA
99301-8941
US

V. Phone/Fax

Practice location:
  • Phone: 509-546-2222
  • Fax: 509-546-2202
Mailing address:
  • Phone: 509-546-2222
  • Fax: 509-546-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberMD00027966
License Number StateWA

VIII. Authorized Official

Name: DR. JOHN F STRAHLE IV
Title or Position: PHYSICIAN AND SURGEON
Credential: M.D.
Phone: 509-546-2222