| NPI | 1992063945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL G DREESSEN Owner 425-775-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 2221) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |