Healthcare Provider Details

I. General information

NPI: 1790604635
Provider Name (Legal Business Name): BAYAN HEALTH WA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W YAKIMA AVE STE 4B
YAKIMA WA
98902-3096
US

IV. Provider business mailing address

901 W YAKIMA AVE STE 4B
YAKIMA WA
98902-3096
US

V. Phone/Fax

Practice location:
  • Phone: 925-989-7548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CASSIDY BRINK
Title or Position: CREDENTIALER
Credential:
Phone: 989-240-6712