| NPI | 1083834428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE MOREHOUSE Office Manager 509-545-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00028507) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |