| NPI | 1518014281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY HIPSKIND President 360-318-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 602093490) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-03-13 |