| NPI | 1124245808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. ALAN PARKER Secretary And Chairman Of The Board 360-754-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: WA 602 497 715) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |