| NPI | 1104766948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAG NASSAR Resident Physician 509-840-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |