| NPI | 1942360763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH EVANS President 206-328-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00023634) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-05-11 |