| NPI | 1790017606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON P BAKER Doctor 206-243-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA MD00008587) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |