| NPI | 1568644714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 174H00000X Health Educator | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2025-02-25 |