| NPI | 1932492071 |
|---|---|
| Doing Business As | GREENLAKE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TESS T MOORE Owner 206-524-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2024-09-19 |