NPI | 1023431095 |
---|---|
Doing Business As | PACIFIC NORTHWEST PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | BECKY BLODGETT Np 253-473-7637 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003968) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2014-01-28 |