| NPI | 1740480623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY D BOWERS Owner 206-441-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA CH00033755) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |