| NPI | 1992764989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STEPHEN DILLINGER President 425-385-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00017867) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-10-18 |