Organization Name: | COLUMBIA LASER CENTERS, INC |
NPI Number: | 1508005349 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH B. RITTENBACH (PRESIDENT) |
Mailing Address: | 714 S College Ave College Place |
State: | WA US |
Postal Code: | 993241519 |
Phone Number: | 5095295515 |
Fax Number: | 5095295519 |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | MD00044960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |