| NPI | 1679649248 |
|---|---|
| Doing Business As | BLUE MOUNTAIN FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES BLACK Administrator 509-751-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00045393) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-05-21 |