| NPI | 1316119829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E LINDSTROM President 509-452-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00024012) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |