| NPI | 1255736104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY SHIMADA CEO 425-670-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |