| NPI | 1558409698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E AINSWORTH Sole Proprietor 206-724-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01045263A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001926A) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-11-19 |