| NPI | 1013969195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN ROBERTSON CEO 253-403-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 183500000X Pharmacist | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-30 |