Organization
BOOST COLLABORATIVE
Active
Organization
BOOST COLLABORATIVE
Active
Other names
PALOUSE INDUSTRIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC C. HOYLE (EXECUTIVE DIRECTOR)
(509) 332-6561
Entity
Organization
Contact information
Practice address
115 NW STATE STREET, SUITE 106, PULLMAN, WA 99163-2616
(509) 332-4420
(509) 339-2399
Mailing address
1235 SE PROFESSIONAL MALL BOULEVARD, PULLMAN, WA 99163-5437
(509) 332-6561
(509) 332-3838
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
600 082 939
WA
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
07/23/2014
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