| NPI | 1225251390 |
|---|---|
| Other Name | CONVENIENT HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | BERT MICHAEL HALE President 360-425-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00016670) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-10-09 |