| NPI | 1396088340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA BOWEN Manager 206-941-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60326001) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |