| NPI | 1740502731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY D BORISH Physician, CEO 425-774-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00015305) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-03-11 |