| NPI | 1467765990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M WILLIAMS Biller 509-483-3155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD00037397) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-08-24 |