| NPI | 1528719184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |