| NPI | 1437154911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE B THOMPSON Medical Director, Owner Member 206-315-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00030950) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-03-20 |