| NPI | 1619279197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIPHER HAU Office Manager 360-694-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH00034415) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |