| NPI | 1083990261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY MARTENS Doctor 360-537-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2086S0129X | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |