| NPI | 1952661043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BODEEN Vice President Of Operations 425-316-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60254052) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |