| NPI | 1740763663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS MCMILLION Officer 206-427-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 171W00000X Contractor |
| 111N00000X Chiropractor | |
| 175F00000X Naturopath | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| 261Q00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |