| NPI | 1437102399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R LONG CEO 253-697-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 207LP2900X Anesthesiology Pain Medicine | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |