| NPI | 1376308106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMMA BOCKENKAMP Manager 360-631-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |