| NPI | 1013268622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY S MCDANIEL Managing Member 206-363-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2019-10-14 |