| NPI | 1497763585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA B CHIESA Office Manager 509-467-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00020871) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-09-25 |