| NPI | 1821545443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE WHITE Administrator 509-689-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |