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

Tri-State Memorial Hospital

Organization Family Medicine Physician · NPI 1598814352

Tri-State Memorial Hospital is a Family Medicine Physician in Clarkston, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
6
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Practice location Address checks out

1221 Highland Ave
Clarkston, WA 99403-2829
Phone: (509) 758-5511
Fax: (509) 751-9406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence H-108 (WA)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nephrology Physician Taxonomy 207RN0300X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1598814352
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTri-State Memorial Hospital
Authorized official Alex Town — Cfo · (509) 758-4667
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 5, 2013
Mailing address1221 Highland Ave, Clarkston, WA 99403-2829

Other providers in Clarkston