| NPI | 1154111607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BROWN Regional Revenue Cyle Director 360-990-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |