| NPI | 1376388868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FALL Manager 253-682-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-07-22 |