| NPI | 1679827877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GAUTREAUX Medical Director 509-338-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 261QP2300X) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: WA 261QX0100X) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2023-01-30 |