| NPI | 1457788275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFERSON DAWSON Md, Cmo 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00046152) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2026-04-21 |