| NPI | 1568740942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BAYS Principal 206-858-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 603124608) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |