| NPI | 1497933600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARSON EDWARD ODEGARD Owner Doctor 425-827-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 1558) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-04-22 |