| NPI | 1467715847 |
|---|---|
| Doing Business As | WALLA WALLA CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN J MICHELSON CEO 509-525-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60297383) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-10-06 |