| NPI | 1316203540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S SMITH Owner 206-216-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA CH00033924) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-11-05 |