| NPI | 1366994196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M MARTIUS SHEPHERD Owner 360-259-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 603563570) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |