| NPI | 1104372903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS HAIK Manager 425-248-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR D10278) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-30 |