| NPI | 1114782414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L PORTER Healthcare Manager 206-653-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |