| NPI | 1972854370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL HASKETT President 360-574-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 602-412-767) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |