| NPI | 1063692747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN REHFELD Office Manager 509-467-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00016998) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-10-29 |