| NPI | 1013082601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEE Managing Member 425-467-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD40676) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH3312) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-07-21 |