| NPI | 1225375702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE K COLEMAN President 360-630-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60188169) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP60188169) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-05-06 |