| NPI | 1063435998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A DUDIK BROSS President 509-766-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: WA 7590771) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-09-30 |