| NPI | 1063245249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J ALBERSHARDT Manager 360-438-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |