| NPI | 1922216472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MACDONALD Owner 509-628-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006509) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-12-12 |