| NPI | 1518772755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BROWN Owner 360-710-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-03-25 |