| NPI | 1871708396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MIN PARK Vice President 253-815-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA AC376) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |