| NPI | 1063487056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAR L MELDAHL Group Administrator 360-466-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: WA 600 001 658) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |