Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pullman Regional Hospital Clinic Network LLC

Organization Pediatrics Physician · NPI 1205104593

Pullman Regional Hospital Clinic Network LLC is a Pediatrics Physician in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1420 S Blaine St Ste 5
Moscow, ID 83843-3973
Phone: (208) 882-2247
Fax: (509) 336-7482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 13-3860 (ID)
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1205104593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grover 'Pete' Peters — Clinic Administrator · (509) 332-6139
Other names Palouse Pediatrics - Moscow
NPI enumeratedDecember 1, 2011
Last updated in NPPESJune 26, 2015
Mailing address840 Se Bishop Blvd Ste 101, Pullman, WA 99163-5502

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