| NPI | 1386774578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K BURNELL SCHAETZEL-HILL CEO 360-438-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001314) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: WA OP00001314) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006758) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-07-21 |