| NPI | 1124142385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MANWILLER Vice President 206-548-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00001457) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA RC00049489) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |