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NPI Code Detail

MEDICARE: DR. TASHA YVONNE MARENBACH M.D.

MEDICARE: DR. TASHA YVONNE MARENBACH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA 116641CA
2207Q00000XFamily Medicine PhysicianMD60770417WA

General Provider Information

NPI Number : 1285926816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASHA YVONNE MARENBACH M.D.
Provider Business Mailing Address
First Line : 982 E COLUMBIA AVE
Second Line :
City : COLVILLE
State : WA
Zip : 99114-3316
Country : US
Telephone Number : 866-747-2455
Fax Number :
Provider Business Practice Location Address
First Line : 525 LILLY RD NE # 204
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5101
Country : US
Telephone Number : 360-493-7230
Fax Number : 360-493-4180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 03/24/2026

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