| NPI | 1770781593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY SANDVIG Office Manager 509-628-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001867) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |