| NPI | 1326262452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HANCOCK Director 360-650-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-10-06 |