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 |