| NPI | 1578001186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HARVEY Medical Director/Partner 360-456-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2025-08-05 |