| NPI | 1184841256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA E. JACOBS Medical Director 425-278-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: WA 602620178) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-12-13 |