| NPI | 1538307681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M TAYLOR Office Manager 509-783-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA md00011392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA md00048486) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WA md00011392) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2013-02-01 |