NPI | 1376536136 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER L YARTER President 360-736-7623 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 600344469) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2016-09-20 |