| NPI | 1194963249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY T ROSS President 360-693-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00019932) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-05-11 |