| NPI | 1891262077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JANE MILLER DO Physician 509-980-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2024-09-18 |