| NPI | 1720306780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLENE ANN ADAMS Owner 425-644-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP30005075) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |