| NPI | 1174965230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MATHEW President 360-775-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-08-29 |