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ROBERT QUACKENBUSH MD PLLC NPI 1043404163


NPI Information

NPI: 1043404163
Provider Name: ROBERT QUACKENBUSH MD PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
40L W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-2220
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ROBERT QUACKENBUSH MD PLLC is a specialist in Walla Walla, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROBERT QUACKENBUSH MD PLLC NPI is 1043404163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40L W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-2220

The provider's authorized official is Robert C Quackenbush .
The authorized official title is Md and has the following contact phone number (509) 525-2220.

The enumeration date for this NPI number is 8/31/2007 and was last updated on 1/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD00039975WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DA4111OTHERWASHINGTONRRMC
2GAB39429MEDICARE PINWASHINGTON
3G96369MEDICARE UPIN
4R121093MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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