| NPI | 1821799263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERTSON President 253-403-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-21 |