| NPI | 1780717207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA MEDELEZ Rece PT Ion/Billing 509-837-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001175) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-12-09 |