| NPI | 1497209654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPIVEY President/CEO 509-473-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA AP60107301) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-10-27 |