| NPI | 1467610972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECK DENNIS Clinic Manager 360-452-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 601555884) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |