| NPI | 1669129623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting And Credentialing Manag 425-214-9321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |