| NPI | 1083873582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY HILL Insurance Specialist 253-853-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 601926708) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-12-21 |