Organization · Type 2 NPI
Boost Collaborative
Voluntary or Charitable Agency · Pullman, WA
NPI number
1841474418
Active
Practice location
115 NW State Street, Suite 106
Pullman, WA 99163-2616
Fax (509) 339-2399
Mailing address
1235 SE Professional Mall Boulevard
Pullman, WA 99163-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 600 082 939 (WA) |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1841474418
Boost Collaborative's National Provider Identifier is 1841474418, issued on Dec 19, 2007. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Pullman, WA. The record was last updated on Jul 23, 2014.