| NPI | 1316285950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DATSON HERNDON Director 206-852-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA PA16694) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-23 |