| NPI | 1386354330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHELE MARIE RUTHERFORD Owner/Provider 206-743-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |