| NPI | 1184915167 |
|---|---|
| Doing Business As | NORTHGATE SOUTH |
| Entity Type | Organization |
| Authorized Contact | KATHY BEERY Director 206-630-1818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-06-17 |