NPI | 1942917018 |
---|---|
Doing Business As | SPECTRUM REPRODUCTIVE HEALTH AND GENDER AFFIRMING CARE |
Entity Type | Organization |
Authorized Contact | ANDREA MARIE PHILLIPS CEO 360-230-4460 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2022-10-28 |
Last Update Date | 2024-11-08 |