NPI | 1154873826 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA L LOOMIS Sr. VP CFO 253-403-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-10-28 |
Last Update Date | 2016-10-28 |