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 |