Blue Mountain Genetics Clinic, PLLC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Legal business name

BLUE MOUNTAIN GENETICS CLINIC, PLLC

Practice address

320 W Willow St
Walla Walla, WA 99362-2922

Phone

(509) 525-1302

Fax

(509) 522-9448

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Patricia S. Cooper, PHD

Title

Sole Member

Phone

(509) 525-1302

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316934110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W WILLOW ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622922",
            "telephone_number": "509-525-1302",
            "fax_number": "509-522-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WILLOW ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622922",
            "telephone_number": "509-525-1302",
            "fax_number": "509-522-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN GENETICS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-525-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110661",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah R. Blattler, LMP
• Karen Blood
• Roger K Blood
• Blue Mountain Action Council
• Blue Mountain Eye PLLC
• Blue Mountain Health Cooperative
• Blue Mountain Heart to Heart
• Blue Mountain Industries LLC
• Blue Mountain Medical Goup, PLLC
• Blue Mountain Midwifery & Women'S Health Care

• Genetic Counselor (M.S.) in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Genetic Counselor (M.S.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.