| NPI | 1629852637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LOUISE GUNDERSON Owner 509-992-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-08-06 |