| NPI | 1962755710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BARKSHIRE Manager 360-475-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA NT 00001209) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-01-03 |