| NPI | 1811012578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L GIVENS Sandra Canfield 360-533-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00031955) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |