| NPI | 1013264688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EAGLE CEO 360-949-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: WA 84152600) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-09-18 |