| NPI | 1790087278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DON ANDERSON Owner 509-962-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH00034692) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2024-02-05 |