Provider First Line Business Practice Location Address:
16493 UPPER BADGER POCKET RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELLENSBURG
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98926-5237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-369-6268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2026