NPI | 1801064712 |
---|---|
Former Legal Business Name | CASCADE FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN D BOND President 360-428-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-02-13 |