| NPI | 1881652147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY F BERGLIND Clinic Administrator 360-373-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |