| NPI | 1083873061 |
|---|---|
| Doing Business As | BAYVIEW MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH LYNN BAKKEN President 253-779-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA OP00000753) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |