| NPI | 1861698987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY NEEDHAM CEO 509-547-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-01-11 |