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PPM WASHINGTON LLC
NPI 1568119204
Clinic/Center - Multi-Specialty in Clarkston, WA

Active since March 02, 2022
1370 BRIDGE ST, CLARKSTON, WA 99403(208) 401-1400 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, Mar 2, 2022 (2 updates tracked since 2022).

About Ppm Washington Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PPM WASHINGTON LLC (NPI 1568119204) is a healthcare organization registered as a multi-specialty in Clarkston, Washington and active in the NPI registry since March 2022. The organization lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1568119204
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePPM WASHINGTON LLC
Location Address1370 BRIDGE STClarkston, WA 99403-2332
Mailing Address1675 E Riverside Dr Ste 200Eagle, ID 83616-7473 · (208) 401-1400
Phone(208) 401-1400
Organization SubpartNo
Authorized OfficialAmber L TuellerSecretary · (208) 207-2726
Enumeration DateMarch 2, 2022
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1568119204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1370 BRIDGE ST, Clarkston, WA 99403
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL DOUGLAS LSW
Social Worker
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568
VALARIE JO NAGLE RN
Registered Nurse
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568
VICKI HOWERY LW 60175770
Social Worker (Clinical)
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568
NANCY PEREGOY PTA
Physical Therapy Assistant
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568
MARSHA KAY GREER RN
Registered Nurse (Hospice)
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 295-1203
BRENDA ANNETTE MCLELLAN
Massage Therapist
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 780-8840
MARIE LAURIE AL MARTSON RN
Registered Nurse
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568
RACHAEL SCHOONOVER RN
Registered Nurse (Case Management)
1370 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 758-2568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ppm Washington LLC's NPI number?

The NPI number for Ppm Washington LLC is 1568119204. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Ppm Washington LLC located?

Ppm Washington LLC is located at 1370 Bridge St, Clarkston, WA 99403. The listed phone number is (208) 401-1400.

What is Ppm Washington LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ppm Washington LLC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.