| NPI | 1699802728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MATHISON Finance Manager 253-446-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-03-18 |