| NPI | 1265690895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MAYER President 206-343-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 60057080010) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |