OrganizationActive
Upland Edge Medical Group
NPI 1184838377 · Preferred Provider Organization · Richland, WA
Provider details
- NPI number
- 1184838377
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Eduardo Gembs, Co-Owner(509) 943-7997
- License
- MD00042734 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
112 Columbia Point Dr
Suite 103
Richland, WA 99352-4390
Phone: (509) 943-7997
Fax: (509) 943-7955
Approximate (ZIP-level) locationGet directions
Mailing address
112 Columbia Point Dr
Richland, WA 99352-4390
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.