| NPI | 1700935707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD MOOMAW Owner President 509-665-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD00001173) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |