| NPI | 1174057350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DESMOND President 206-747-7681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 6035903030010001) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |