| NPI | 1376873737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE L WOODS CEO, President 509-888-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00038313) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |