White Salmon Family Practice Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP60192028 Issued in WA

Legal business name

WHITE SALMON FAMILY PRACTICE CLINIC

Practice address

181Jewett Blvd
White Salmon, WA 98672-0050

Phone

(831) 206-0921

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Debra Ann Short, FNP, BC

Title

Nurse Practitioner, Owner

Phone

(831) 206-0921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1871898700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720050",
            "telephone_number": "831-206-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181JEWETT BLVD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720050",
            "telephone_number": "831-206-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SALMON FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "831-206-0921",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP60192028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney K Wangelin
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• Miranda Welch, D.A.O.M, L.AC,
• Wellness LLC
• White Salmon Acupuncture LLP
• White Salmon Valley School District
• Serena Whitridge, DSOM, LAC, MSCN
• Denison F Wiedman, LMT
• Wild Remembrance LLC
• Amy Williams

• Primary Care Clinic/Center in White Salmon, WA
• Providers in White Salmon, 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 Jan 26, 2011; 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.