| NPI | 1588103451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEE ANN SANKEY Credentialing Coordinator 206-621-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-08-12 |