| NPI | 1396839585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURANCE J. LAUX Chief Financial Officer 509-473-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00016040) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD00032615) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: WA MD00020071) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00043954) | |
| 363A00000X Physician Assistant (Licence: WA PA10003902) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |