| NPI | 1922479088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE CONRAD Business Manager 509-319-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00001523) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2017-03-22 |