| NPI | 1932910684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIEN NGUYEN Mr. 253-499-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-08-19 |