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

Seleverstov Medical, PC

Organization Internal Medicine Physician · NPI 1275215972

Seleverstov Medical, PC is an Internal Medicine Physician in College Place, Washington. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

56 N College Ave Unit 2A
College Place, WA 99324-1048
Phone: (097) 300-7285
Fax: (866) 531-7606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1275215972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleksandr Seleverstov — Owner · (518) 801-6446
Other names Heritage Clinic; Heritage Clinic
NPI enumeratedAugust 2, 2023
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address146 Thunder Ridge Dr, Walla Walla, WA 99362-7762

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