| NPI | 1679575039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PENNETTI Credentialing COO Rdinator 425-203-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2022-07-21 |