| NPI | 1265152169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BLACKHAM Naturopathic Physician 206-702-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner School |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent |
| 2080S0010X Pediatrics Sports Medicine | |
| 364SS0200X Clinical Nurse Specialist School | |
| 364SX0106X Clinical Nurse Specialist Occupational Health | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-01 |