| NPI | 1427081967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARK GREGSON Interim CEO 360-417-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207V00000X Obstetrics & Gynecology | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207X00000X Orthopaedic Surgery | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2026-01-27 |