| NPI | 1982138780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WALCOTT Clinic Operations Director 206-384-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA LW6016081) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |