| NPI | 1568981470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA HOESCHEN Administration Director 206-763-5277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 152W00000X Optometrist |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 261QD0000X Clinic/Center, Dental | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-03-17 |