| NPI | 1457011363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMO ADEN CEO 206-819-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |