| NPI | 1669504395 |
|---|---|
| Other Name | CHC OF SNOHOMISH COUNTY 112TH MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT C FARRELL Executive Director 425-789-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 7034036) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 7034036) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-08-12 |