| NPI | 1518496991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ROSS Owner 206-794-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |