| NPI | 1831150267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WALTON SMITH Office Manager 509-484-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000504) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |