| NPI | 1093213241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY OCONNOR Billing Specialist/Credentialing 360-452-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |