| NPI | 1043586670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S WEEDON Office Manager 360-438-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00023118) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-03-07 |