OrganizationActive
Snake River Adult Medicine LLC
NPI 1548752918 · Primary Care Clinic/Center · Clarkston, WA
Provider details
- NPI number
- 1548752918
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Ciezki, Owner/Operator(509) 295-8398
- License
- 604282863 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1625 5th St
Clarkston, WA 99403-3001
Phone: (509) 295-8398
Fax: (509) 295-8416
Street-level locationGet directions
Mailing address
725 Diagonal St
Clarkston, WA 99403-2043
Additional practice locations (1)
- 725 Diagonal StClarkston, WA 99403-2043Phone: (509) 295-8398
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.