| NPI | 1528316692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL V. MAKOVSKI Medical Director 425-452-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00039986) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00003438) |
| 225700000X Massage Therapist (Licence: WA MA60147179) | |
| 163WG0000X Registered Nurse, General Practice (Licence: WA AP60184962) | |
| 111N00000X Chiropractor (Licence: WA ch60266885) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2013-02-07 |