| NPI | 1043368426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE LARSON Director Of Operations 425-251-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA FS.60293976) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy (Licence: WA FS.60293976) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-11-20 |