| NPI | 1376185694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON CFO 206-548-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |