| NPI | 1013258979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JOAN WATTERSON Credentialing Specialist 509-961-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2023-08-10 |