| NPI | 1386407658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BRAZIER Administrative Services Director 360-475-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |