| NPI | 1861200792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAMAT BERDIYEV Operations Manager 360-747-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |