| NPI | 1417337049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES COVINGTON President 509-910-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111NR0400X |
| 202D00000X Integrative Medicine | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 208D00000X General Practice | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-06-09 |