| NPI | 1225230527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDEN MANAWADU CEO 509-946-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA 000301729) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-10-09 |