| NPI | 1801610159 |
|---|---|
| Doing Business As | UNIVERSITY PLACE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHRYN HARSHMAN Owner 360-562-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |