| NPI | 1669952800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BARRERA President 360-563-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP60560271) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: WA OP60560271) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |