| NPI | 1053505149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE D BRIGMAN M.D. 360-423-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00013785) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD00030053) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |