| NPI | 1659811313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCDONALD Physician 206-359-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60216753) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |