| NPI | 1063898120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PLUNKETT Managing Partner 253-984-7247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-08-12 |