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 |