| NPI | 1750472577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH LONG Credentailing 425-806-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: WA MD00031471) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |