| NPI | 1053498758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN VYHMEISTER Owner/Medical Director 206-957-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |