| NPI | 1346017944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU ALAN BAKKEN Fire Chief 360-275-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 164W00000X Licensed Practical Nurse | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2025-08-01 |