| NPI | 1265716799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON SCOTT CHEREWATENKO Chairman & CEO 206-362-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 25608) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |