| NPI | 1083819866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J FERREE Office Manager 206-937-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000236) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000396) |
| 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000739) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-06-19 |