| NPI | 1194052357 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICK J HOGAN III President/Physician 253-284-4488  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP00000793)  | 
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-11-09 | 
| Last Update Date | 2023-04-19 |