| NPI | 1215242235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LOOSEN Executive Director 360-352-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 601019612) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |