| NPI | 1174715627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY A THOMPSON CEO 360-428-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WA 600052359) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |