| NPI | 1770971830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIER JORDAN-KEITH Practice Supervisor 425-688-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA AP60481748) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |