| NPI | 1184751638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA A BUGAICHUK Office Manager 425-775-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 602496426) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-11-08 |