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Contact Information

BLUE MOUNTAIN GENETICS CLINIC, PLLC
320 W WILLOW ST
WALLA WALLA, WA99362-2922
 Phone: 509-525-1302
 Fax: 509-522-9448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN GENETICS CLINIC PLLC · (Female)

NPI # 1316934110
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7110661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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