| NPI | 1306911458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER LUCERO CEO 206-324-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-03-12 |