| NPI | 1679587018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON GREGORY MISIUK Family Nurse Practitioner 360-738-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30006650) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |