| NPI | 1174821482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLENA SIMMONDS Physician 425-591-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA CH00034551) |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2024-11-01 |