| NPI | 1780806869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASRA POURNADEALI Director 360-651-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QR0200X Clinic/Center, Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-12-28 |