| NPI | 1376561530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE M LING Office Manager 509-783-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00031176) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006572) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-12-20 |