| NPI | 1841650009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A. CLOSSER Owner 425-212-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 600231010) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-09-01 |