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 |