| NPI | 1396810701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BARLOW Manager 509-241-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 478001461) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-07-06 |