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

Tri-State Memorial Hospital

Organization Family Medicine Physician · NPI 1932405693

Tri-State Memorial Hospital is a Family Medicine Physician in Clarkston, Washington. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3

Practice location Address checks out

1221 Highland Ave
Clarkston, WA 99403-2829
Phone: (509) 758-5511
Fax: (509) 751-9406
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nephrology Physician Taxonomy 207RN0300X

Record details

NPI number1932405693
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTri State Memorial Hospital
Authorized official Alex Town — Cfo · (509) 758-4667
Other names Tri State Medical Clinics
NPI enumeratedJanuary 28, 2011
Last updated in NPPESMarch 31, 2011
Mailing addressPo Box 189, Clarkston, WA 99403-0189

Other providers in Clarkston