| NPI | 1841405982 |
|---|---|
| Doing Business As | EASTSIDE HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | SARA MAGNUSON-WHYTE Secretary/Treasurer 360-943-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ubi601998920) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-04-05 |