| NPI | 1255924270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L KOTARSKI Physician, Owner 206-420-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 175F00000X Naturopath |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2024-03-26 |