| NPI | 1760886535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY NEEDHAM CEO 509-547-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-01-11 |