| NPI | 1134996721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MAUREEN CHANEY Owner 425-346-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |