| NPI | 1306111562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED K WATERBURY Office Manager 206-629-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 602025306) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-05-10 |