| NPI | 1720029028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-05-16 |