| NPI | 1235501818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN ADALAIDE LACHUTE Officer 425-531-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60610333) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |