| NPI | 1467631424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA D MILMAN Owner 206-533-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00042748) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2012-10-18 |