| NPI | 1215886437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN PETERSON Administrative Services Manager 206-263-8392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-01-22 |