| NPI | 1063509446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L OSBORNE Office Manager 509-946-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD17852) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-07-08 |