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Contact Information

NORTHWEST MEDICAL GROUP PLLC
938 W 3RD AVE
MOSES LAKE, WA98837-2011
 Phone: 509-350-4785
 Fax: 509-380-9591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Massage Therapist

225700000X
 

Occupational Health

163WX0106X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for NORTHWEST MEDICAL GROUP PLLC

NPI Number 1154006492
LBN Legal business name NORTHWEST MEDICAL GROUP PLLC
Authorized official BRANDON PENIX - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2023
Last updated 12/30/2024 - More than a year ago
Identifiers
WA Other 0471864 LABOR AND INDUSTRIES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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