| NPI | 1487786448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JEAN MATTER Co Owner, President 206-301-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 602162859) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |