| NPI | 1023162831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROY SOULES Managing Partner 206-301-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |