| NPI | 1780051771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COLLINSWORTH Office Manager 253-833-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA 60503871) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |