| NPI | 1447269923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ASHBY VAN VALIN Physician Assistant 509-924-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004910) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-03-07 |