| NPI | 1952942096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MISIUK Office Manager, Nurse 509-655-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 305S00000X Point of Service | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2024-03-08 |