| NPI | 1528196052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG H LEE President 253-874-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00029607) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00044106) |
| 207R00000X Internal Medicine (Licence: WA MD00029607) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006909) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006915) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006808) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60126966) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-07-21 |