| NPI | 1003504192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A BARCLAY Owner 425-403-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 163WP0000X Registered Nurse, Pain Management | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-05-19 |