| NPI | 1598341240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LAFONTAINE Patient Account Service Manager 206-324-4036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-05-23 |