| NPI | 1013243393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CERAR Clinical Manager 360-752-0518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602939596) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |