| NPI | 1386918084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEED WEST Owner 360-573-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 00001155) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |