| NPI | 1922351527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE NAKAMURA Credentialing 425-277-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 600461511) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-10-02 |