| NPI | 1962775270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-788-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 600 537 278) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2025-02-26 |