| NPI | 1083876130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L BREDESON CEO 360-740-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2011-05-19 |