| NPI | 1497611933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN ALEXANDER Clinical Intern 425-322-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |