| NPI | 1083504633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MCCOY Regional Vice President 253-733-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |