| NPI | 1164729398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TECHANG LEE CEO 360-281-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA WA00034070) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-03-10 |