| NPI | 1780751818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES BESSAS Owner 360-828-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA MD00041827) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-08-18 |