| NPI | 1801163282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS MILLER Owner 360-940-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60249842) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-03-07 |