| NPI | 1760433049 |
|---|---|
| Doing Business As | JEFFERSON HEALTHCARE WATERSHIP CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE GLENN CEO 360-385-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-10-29 |