| NPI | 1497828453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON Chief Executive Officer 206-461-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-01-12 |