| NPI | 1174917611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARLISLE Manager Of Compliance And Reporting 253-442-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 603293815) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |