| NPI | 1033393012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE BLATNER Owner 206-241-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50-C0001133) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2009-02-13 |