| NPI | 1467574855 |
|---|---|
| Doing Business As | PASSPORT HEALTH W. WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA B JENSEN Clinical Director 425-251-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 602164615) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-06-16 |