| NPI | 1316079585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T KENT VYE President 509-452-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 0P00001175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 0P00001175) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-10-15 |