| NPI | 1700053790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J DEAL President 206-789-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD00016837) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |