| NPI | 1124709290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA LEE REICH Owner, CEO/COO 509-824-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-02 |