| NPI | 1871044867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Credentialing Manager 206-383-4781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |