| NPI | 1235293473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERENE G ROCKSTROM Office Manager 509-455-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00015837) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00017775) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00019775) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00018006) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00021497) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |