| NPI | 1023099876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F WAGNER Asst Medical Director 206-292-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA VBI601773489) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |