| NPI | 1629274584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE DYCK ANDERSON President & CEO 253-460-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA IS-146) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-04-22 |