| NPI | 1477614311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDON C CAPON Chief Medical Officer 425-750-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006112) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00000478) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-19 |