| NPI | 1073602991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MELLOTT Director Clinical Services 360-738-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WA 601644971) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-03-25 |