| NPI | 1316012461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESHTER LUCERO Chief Executive Officer 206-324-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-03-12 |