NPI | 1093708422 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER K LARSON Authorized Official 206-244-5477 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00007073) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2011-09-19 |