| NPI | 1558771261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TROTTER Director 360-423-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60463399) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |