| NPI | 1336186105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIK ROWBOTHAM CEO 509-747-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA L0620049) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-06-01 |