| NPI | 1609267996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD STANLEY WILK President/Secretary 360-910-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR LMT#6259) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |