| NPI | 1316131931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON J NORDQUIST President 253-445-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA CH00034318) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-12-06 |