| NPI | 1124331558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD L. BIRCUMSHAW President 253-473-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: WA WA1349) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |