| NPI | 1083654966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 601971980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 601971980) |
| 163W00000X Registered Nurse (Licence: WA 601971980) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-05-16 |