# RATHDRUM CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restored Horizons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669572780
- **Authorized official:** MICHAEL WHITING MD (PRESIDENT)
- **Authorized official phone:** (208) 687-5627

## Contact information

- **Practice address:** 14775 N KIMO CT, SUITE B, RATHDRUM, ID 83858-8762
- **Practice address phone:** (208) 687-5627
- **Mailing address:** 14775 N KIMO CT, SUITE B, RATHDRUM, ID 83858-8762
- **Mailing address phone:** (208) 687-5627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M8126 | ID | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/18/2019