| NPI | 1639252497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MENEFEE Office Manager 253-857-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 025209md00017086) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-03-07 |