| NPI | 1730749433 |
|---|---|
| Doing Business As | CHUCKANUT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEITH AMZEN Chief Financial Officer 360-318-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-07-27 |