| NPI | 1265750830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY PHAM Physician/Owner 206-240-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA OP60001377) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2012-11-15 |