| NPI | 1083965792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE IKEDA Owner 206-518-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 603118032) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |