| NPI | 1356487318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-788-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-02-21 |