| NPI | 1518470137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MCMAHAN Office Mgr 509-838-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30007917) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |