| NPI | 1154699924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN VAN HOFF Owner 425-895-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP30004449) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP30001935) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |