| NPI | 1518767417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RITTER CFO 425-831-3565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207QS0010X Family Medicine Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-07-22 |