| NPI | 1619330461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMMER KLEWENO WALLEY Interim CEO 206-744-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA H-029) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-02-25 |