| NPI | 1790855104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNA FRIKKEN Optician 360-571-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA d000000728) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |