| NPI | 1295499309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KIMBER ROTCHFORD President 360-385-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |