| NPI | 1033278411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L PERSSE Chief Administrative Officer 360-543-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-05-24 |