| NPI | 1558514349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY H CHEN Member 360-413-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00023128) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-11-21 |