| NPI | 1063455665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HENRY Executive Director 253-593-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0200X Clinic/Center Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| 261QH0100X Clinic/Center Health Service | |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-07-13 |