| NPI | 1619070497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUSAN PORTER PETERSON Administrative Director 425-899-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |