| NPI | 1770746505 |
|---|---|
| Doing Business As | EASTSIDE PRIMARY CARE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SUNSHINE VANRENSUM Office Manager 425-467-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-09-29 |