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PALOUSE PEDIATRICS, PLLC
NPI 1649253758
Pediatrics in Pullman, WA

Active since November 22, 2005CLIA 50D0638897 · Waiver
1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163(509) 332-2605(509) 334-5754 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palouse Pediatrics, Pllc NPPES

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

PALOUSE PEDIATRICS, PLLC (NPI 1649253758) is a healthcare organization registered as a pediatrics in Pullman, Washington and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Alvin Frostad, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1649253758
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePALOUSE PEDIATRICS, PLLC
Location Address1205 SE PROFESSIONAL MALL BLVD, SUITE 104Pullman, WA 99163-5423
Mailing Address1205 Se Professional Mall Blvd, Suite 104Pullman, WA 99163-5423 · (509) 332-2605 · Fax (509) 334-5754
Phone(509) 332-2605
Fax(509) 334-5754
Organization SubpartNo
Authorized OfficialAlvin FrostadOwner/physician · (509) 332-2605
Enumeration DateNovember 22, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649253758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1205 SE PROFESSIONAL MALL BLVD, Pullman, WA 99163
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0638897

Palouse Pediatrics · Pullman, WA
Active · expires Apr 4, 2028
CLIA Number50D0638897
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2006
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael J. Frostad
Laboratory Phone(509) 332-2605
Laboratory LocationPalouse Pediatrics1205 SE Professional Mall Ste 104, Pullman, WA 99163
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

DEVLIN & HUBERTY PS
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD, STE 102
PULLMAN, WA 99163
Whitman County (509) 332-7511
DR. STEVEN F LARSEN D.D.S.
Dentist (General Practice)
1205 SE PROFESSIONAL MALL BLVD, SUITE #108
PULLMAN, WA 99163
Whitman County (509) 332-6015
KAMI KATE CORNWALL LMHC
Counselor (Mental Health)
1205 SE PROFESSIONAL MALL BLVD, SUITE 109
PULLMAN, WA 99163
Whitman County (509) 432-3925
DEAN FUNABIKI AND ASSOCIATES , P.S.
Psychologist
1205 SE PROFESSIONAL MALL BLVD, SUITE 113
PULLMAN, WA 99163
Whitman County (509) 334-0677
DR. HUONG TRINH M.D.
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Whitman County (509) 332-7511
DR. CHARLES ARCH RICHARDS M. D.
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Whitman County (509) 332-7511
MARCUS TORREY DDS PLLC
Dentist
1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163
Whitman County (509) 332-4711
JONATHAN B FISHER, DDS,PLLC
Dentist (General Practice)
1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163
Whitman County (509) 332-2366

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 Palouse Pediatrics, PLLC's NPI number?

The NPI number for Palouse Pediatrics, PLLC is 1649253758. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Palouse Pediatrics, PLLC located?

Palouse Pediatrics, PLLC is located at 1205 SE Professional Mall Blvd Suite 104, Pullman, WA 99163. The listed phone number is (509) 332-2605.

What is Palouse Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Palouse Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0638897) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palouse Pediatrics, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.