| NPI | 1457387599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLAYTON BLAIR Manager 360-344-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WA 602565539) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-11-05 |