| NPI | 1013636430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BLACKHAM Naturopathic Physician 206-702-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 363LS0200X Nurse Practitioner, School | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-09-02 |