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 |