| NPI | 1699704676 |
|---|---|
| Doing Business As | MID COLUMBIA FAMILY HEALTH CENTER |
| Doing Business As | NORTHSHORE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | R ALLEN LABERGE President 509-493-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 600416746) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-11-26 |