| NPI | 1457417263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D BERGER Director Ehs Practice Admin. 509-473-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00046878) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WA MD00019575) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD00019575) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006356) | |
| 367A00000X Advanced Practice Midwife (Licence: WA AP30006949) | |
| 367A00000X Advanced Practice Midwife (Licence: WA AP30004127) | |
| 367A00000X Advanced Practice Midwife (Licence: WA AP30003483) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |