| NPI | 1609827823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FALL Manager 253-682-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 69029) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-12-03 |