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 |