| NPI | 1174657811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J SHERWOOD Owner 253-686-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA CBC.FS.60393769) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WA MW60002237) |
| 261Q00000X Clinic/Center (Licence: WA CBC-023) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-02-23 |