| NPI | 1841229531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A COGEN Owner 360-377-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA 602421424) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-12-19 |