Center for Functional Health PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTER FOR FUNCTIONAL HEALTH PLLC

Doing business as

Medical @ the Pacific Campus

Practice address

1350 N Grant St
Kennewick, WA 99336-1355

Phone

(509) 735-2014

Fax

(509) 735-3980

NPI assigned

May 3, 2022

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaelah Harmon

Title

Clinic Director

Phone

(509) 735-2014

Specialties & licenses 5

Addresses

Other names 1

• Medical @ the Pacific Campus Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell J Parks, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1235762782
  Medicare reassignment Care Compare group NPD
• Nichole Rodriguez, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1063193746
  Medicare reassignment Care Compare group NPD
• Quisto G Oucharek, D.P.T.

  • Physical Therapist
  • Hermiston, OR
  • NPI 1023440237

  WA

  Medicare reassignment Care Compare group NPD
• Aaron Johnson, ARNP

  • Family Nurse Practitioner
  • Richland, WA
  • NPI 1760425466
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1295470268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N GRANT ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361355",
            "telephone_number": "509-735-2014",
            "fax_number": "509-735-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N GRANT ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361355",
            "telephone_number": "509-735-2014",
            "fax_number": "509-735-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FUNCTIONAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "SHAELAH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "509-735-2014"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical @ the Pacific Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.