| NPI | 1174940282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE HASTINGS Office Manager 509-758-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD 00029346) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-01-09 |