| NPI | 1548562903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI CLAUDETTE ROEHL Owner / Operator 509-452-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00077942) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |