| NPI | 1629308564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B KELLEY President & CEO 360-456-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00016317) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2009-12-27 |