| NPI | 1356876502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: MD D0082182) |
| 207P00000X Emergency Medicine (Licence: MD D0082238) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-04-15 |