| NPI | 1578435509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE EDWARDS Owner 360-553-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-10-17 |