| NPI | 1922696822 |
|---|---|
| Doing Business As | WASHINGTON PARK DIRECT CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL D WILLIAMS Owner 360-736-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |