| NPI | 1104185073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH POLLARD Administrator 206-368-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-10-16 |