| NPI | 1578797791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER FRANKLIN Billing/Credentialing 509-465-8885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 602552714) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |