| NPI | 1689871659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY TAYLOR EBBIN President 425-378-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH00003453) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2014-10-01 |