| NPI | 1518201961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HOFMAN Administrator 360-533-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00040723) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2014-04-14 |