| NPI | 1609301399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE RENE General Counsel 425-244-2840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |