| NPI | 1427073840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L HOFFMAN President 360-574-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 602202713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 602202713) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-12-29 |