| NPI | 1003887340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY L MARKS Human Resources Generalist 360-752-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 600469546) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-10-03 |