| NPI | 1871961680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-788-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-02-26 |