| NPI | 1568692705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KIMBER ROTCHFORD Owner/Physician 360-385-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA MD00019338) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: WA MD00019338) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-08-20 |