| NPI | 1912043720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HOURIGAN Administrator 425-291-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00000637) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |