| NPI | 1346348810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WISTI Office Manager 360-666-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 602378281) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-13 |