| NPI | 1659068385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAL SHAH Owner/Physician 425-458-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 207QB0002X Family Medicine Obesity Medicine | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |