| NPI | 1093963795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L. HILES Family Practice Physician 425-235-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 60021347) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-12-27 |