NPI | 1912900234 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCY G. HIPSKIND President 360-318-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 602079976) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: WA 602079976) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2017-10-10 |