| NPI | 1710240841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIRDSALL President 425-354-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00016124) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant (Licence: WA OA60245584) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-10-25 |