| NPI | 1982150074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANDERSON Seattle District Manager 425-882-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: WA PH 60677369) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |