| NPI | 1801274386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN MCFARLAND Owner 360-770-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA AP60341327) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2024-02-08 |