| NPI | 1184884108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC VAN DRIESSCHE Physician 425-290-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA CH00003284) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2025-11-10 |