| NPI | 1477662153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SOBECK Chief Of Ob/Gyn 360-891-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 200540324RN) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-06-25 |