| NPI | 1841622172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SKIDMORE Admin Assistance 509-467-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: WA OT00004505) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |