| NPI | 1386199867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA LUEDEENE YAMAMOTO Front Office 425-271-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA DE00006052) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |