| NPI | 1649484833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM SCHLAUDERAFF Clinic Manager 360-426-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA md00019248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA md00042875) |
| 207R00000X Internal Medicine (Licence: WA op00001739) | |
| 207Q00000X Family Medicine (Licence: WA md00045960) | |
| 363A00000X Physician Assistant (Licence: WA pa10004942) | |
| 207R00000X Internal Medicine (Licence: WA md00047153) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-10-16 |