MEDICARE: 8AM TO 8PM FAMILY MEDICINE, P.S.

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	363LF0000X	Family Nurse Practitioner	AP30007625	WA
2	207Q00000X	Family Medicine Physician	OP00000807	WA

General Provider Information

NPI Number	:	1689851818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	8AM TO 8PM FAMILY MEDICINE, P.S.

Provider Business Mailing Address
First Line	:	813 S AUBURN ST
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-5661
Country	:	US
Telephone Number	:	509-586-8986
Fax Number	:	509-586-0314

Provider Business Practice Location Address
First Line	:	813 S AUBURN ST
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-5661
Country	:	US
Telephone Number	:	509-586-8986
Fax Number	:	509-586-0314

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. RAYMOND HERBERT SJERVEN
Credential	:	D.O.
Telephone Number	:	509-586-8986

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	03/14/2008

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