| NPI | 1528279437 |
|---|---|
| Other Name | PARKSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NATHAN HALVORSON Corporate Compliance Officer 509-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-11-01 |