NPI | 1992982789 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY A OSTRANDER Office Manager 253-759-3065 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003764) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2017-05-09 |