| NPI | 1114600970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |