| NPI | 1174895486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A CHAROCHAK Doctor 253-848-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA OP00000826) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |