| NPI | 1255531372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BURTON ERICSON Member 425-776-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00044072) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2010-01-14 |