NPI | 1760411912 |
---|---|
Doing Business As | PACIFIC CREST FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JIM SIMMONS Director Of Finance 509-248-7849 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00027321) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2010-08-19 |