| NPI | 1083932917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE TEMPLE OTTAWAY President 360-385-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00038123) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |