Healthcare Provider Details

I. General information

NPI: 1144381088
Provider Name (Legal Business Name): YAKIMA WORKER CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N 1ST ST STE D
SUNNYSIDE WA
98944-1465
US

IV. Provider business mailing address

409 S 12TH AVE
YAKIMA WA
98902-3114
US

V. Phone/Fax

Practice location:
  • Phone: 509-836-0075
  • Fax: 509-575-5743
Mailing address:
  • Phone: 509-836-0075
  • Fax: 509-836-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberMD00012087
License Number StateWA

VIII. Authorized Official

Name: JULIE PALMANDEZ
Title or Position: CEO
Credential:
Phone: 509-575-2949