| NPI | 1841087145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOSEPH MOREAU Director Of Compliance & Quality 206-716-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |