| Organization Name: | TRI-CITIES DIGESTIVE HEALTH CENTER, P.S. |
| NPI Number: | 1003987868 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARIA LAM (OFFICE MANAGER) |
| Mailing Address: | 780 Swift Boulevard Suite 280 Richland |
| State: | WA US |
| Postal Code: | 993523582 |
| Phone Number: | 5099469747 |
| Fax Number: | 5099460970 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |