Healthcare Provider Details

I. General information

NPI: 1851815195
Provider Name (Legal Business Name): YAKIMA WORKER CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S 12TH AVE
YAKIMA WA
98902-3114
US

IV. Provider business mailing address

409 S 12TH AVE
YAKIMA WA
98902-3114
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-2949
  • Fax: 509-575-5743
Mailing address:
  • Phone: 509-575-2949
  • Fax: 509-575-5743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

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