| NPI | 1477506061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D OLSEN Partner 360-582-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00019156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00019693) |
| 207R00000X Internal Medicine (Licence: WA MD00041946) | |
| 207Q00000X Family Medicine (Licence: WA MD00019647) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-12-07 |