| NPI | 1073375572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE VESSEY CEO 425-789-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |