| NPI | 1093123184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WENDT Revenue Cycle Director 206-628-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: ID 19941PDO) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |