NPI: 1497129696 · RENTON, WA 98059 · General Practice Physician · NPI assigned 11/25/2015
| Authorized Official | ANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT) |
| NPI Enumeration Date | 11/25/2015 |
Other providers sharing the same authorized official: ANDERSON, DONALD
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $6K |
| 2019 | 366 | $19K |
| 2020 | 152 | $7K |