| NPI | 1922270891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK URMANSKI Owner 360-923-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WA 11450) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WA 11450) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-05-29 |