| NPI | 1023349602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL J COUWENBERG Billing Manager 206-915-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA 3260) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |