Organization Active NPI

Yellow Rock Clinic PLLC

  • Family Medicine Physician
  • Clarkston, WA
National Provider Identifier
1851369227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YELLOW ROCK CLINIC PLLC
Practice address
1119 Highland Ave
Suite 3
Clarkston, WA 99403-2836
Phone
(509) 751-5400
Fax
(509) 751-5404
NPI assigned
Mar 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Valerie Louise Fox, MD
Title
Owner
Phone
(509) 751-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1119 Highland Ave
Suite 3
Clarkston, WA 99403-2836

Mailing address

1119 Highland Ave
Suite 3
Clarkston, WA 99403-2836
Phone (509) 751-5400

Other identifiers 1

IdentifierTypeStateIssuer
4010153649OtherBS ID

National Provider Directory

National Provider Directory

Locations

1119 Highland Ave
Ste 3
Clarkston, WA 99403
Phone (509) 751-5400

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851369227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 HIGHLAND AVE",
            "address_2": "SUITE 3",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032836",
            "telephone_number": "509-751-5400",
            "fax_number": "509-751-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 HIGHLAND AVE",
            "address_2": "SUITE 3",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032836",
            "telephone_number": "509-751-5400",
            "fax_number": "509-751-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW ROCK CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-751-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS ID",
            "identifier": "4010153649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

  • 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.