| NPI | 1144234543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT N FARINGER Administrator 509-575-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA FX00056052) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |