EMILY GRACE CASTILLO

WALLA WALLA CLINIC, INC.

Dr EMILY GRACE CASTILLO is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

WALLA WALLA CLINIC, INC.

55 W TIETAN ST
WALLA WALLA
WA
993624445

Tel: 50952537201405

EMILY GRACE CASTILLO Information

Npi 1114261229
Pac Id 6709038771
Professional Enrollment Id I20121221000096
Last Name CASTILLO
First Name EMILY
Middle Name GRACE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WALLA WALLA CLINIC, INC.
Group Practice Pac Id 2264320837
Number Of Group Practice Members 52
Line 1 Street Address 55 W TIETAN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALLA
State WA
Zip Code 993624445
Phone Number 50952537201405
Hospital Affiliation Ccn 1 381321
Hospital Affiliation Lbn 1 GRANDE RONDE HOSPITAL
Hospital Affiliation Ccn 2 501302
Hospital Affiliation Lbn 2 DAYTON GENERAL HOSPITAL
Hospital Affiliation Ccn 3 500002
Hospital Affiliation Lbn 3 PROVIDENCE ST MARY MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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