| NPI | 1316032451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY A MCCLANAHAN Owner 360-575-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO00000596) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP00317) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-26 |