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General NPI Number Information
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NPI Number | 1851369227
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Entity Type | Organization
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Legal Business Name | YELLOW ROCK CLINIC PLLC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1119 HIGHLAND AVE SUITE 3
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City | CLARKSTON
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State | WA
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Zip | 99403-2836
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Country | US
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Telephone | 509-751-5400
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Fax | 509-751-5404
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Provider Business Mailing Address
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Address Line | 1119 HIGHLAND AVE SUITE 3
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City | CLARKSTON
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State | WA
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Zip | 99403-2836
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Country | US
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Telephone | 509-751-5400
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Fax | 509-751-5404
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE LOUISE FOX
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Credential | MD
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Telephone | 509-751-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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