| NPI | 1760553028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J MERCIER Director 425-702-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD00037532) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |