| NPI | 1649690660 |
|---|---|
| Doing Business As | FUNCTIONAL ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | KIM D CHRISTENSEN President 360-901-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OR 1501) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |