| NPI | 1104085661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MORRIS Office Manager 509-946-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00000962) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |