| NPI | 1740980630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEEL URSANI President 206-495-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-04-25 |