MEDICARE: WESTERN MEDICAL RESOURCES, LLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1487516555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN MEDICAL RESOURCES, LLC

Provider Business Mailing Address
First Line	:	1016 N 4TH AVE STE D102
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3706
Country	:	US
Telephone Number	:	509-545-3564
Fax Number	:	509-543-2920

Provider Business Practice Location Address
First Line	:	1016 N 4TH AVE STE D102
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3706
Country	:	US
Telephone Number	:	509-545-3564
Fax Number	:	509-543-2920

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	ROBERT MITCHELL
Credential	:	PA-C
Telephone Number	:	509-545-3564

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	04/28/2026

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Directions to “WESTERN MEDICAL RESOURCES, LLC ” Practice Location

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