| NPI | 1962736991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TUCKER PIERCE President 360-537-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60074635) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |