| NPI | 1326262452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA PEARSON Interim Medical Director 360-650-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-01-23 |