| NPI | 1770760746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MCCLARTY Office Manager 206-624-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00023575) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |