WSU HWS at Athletics – Sports Medicine (Family Medicine) Physician, NPI 1760909055

WSU HWS at Athletics is a healthcare provider. based in Pullman, Washington. specializing in Sports Medicine (Family Medicine) Physician. The NPI Number for WSU HWS at Athletics is 1760909055

Main info

Organization
Inactive
Name
WSU HWS at Athletics
NPI
1760909055
Phone
(509) 335-0310
Address
1455 NE COUGAR WAY BOHLER COMPLEX
Deactivation Date
22 April 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for WSU HWS at Athletics

  • 1455 NE COUGAR WAY BOHLER COMPLEX

    PULLMAN, WA 991640001

    Phone: (509) 335-0310

    Type: Location

  • 1547 NE Cougar Way Cougar Football Complex

    Pullman, WA 991640001

    Phone: (509) 333-5621

    Type: Location

  • PO BOX 642302 HEALTH & WELLNESS SERVICES

    PULLMAN, WA 991642302

    Phone: (509) 335-6759

    Fax: (509) 335-1684

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99164)

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Reviews

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Frequently asked questions

Is there an official ID for WSU HWS at Athletics in U.S. healthcare records?
The official identifier for WSU HWS at Athletics is NPI 1760909055.
Is WSU HWS at Athletics still active if the NPI shows inactive?
NPPES shows WSU HWS at Athletics as inactive; dates on the record explain the timeline when available.
What area of care is associated with WSU HWS at Athletics?
WSU HWS at Athletics's record emphasizes Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is WSU HWS at Athletics registered?
Use Pullman, Washington as the headline location for WSU HWS at Athletics here.
When was this NPI issued?
Enumeration for WSU HWS at Athletics is noted as not shown in this record where the registry provides it.

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