| NPI | 1215041637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M ALDRICH Md 360-755-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00023548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00013642) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-01-07 |