| NPI | 1639876600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD HECKMAN Pc Owner 206-716-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |