NPI | 1114255247 |
---|---|
Doing Business As | PROVIDENCE OCCUPATIONAL MEDICINE-NW |
Entity Type | Organization |
Authorized Contact | DONALD W ANDERSON Reimbursement Director Administrati 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2009-12-01 |
Last Update Date | 2017-03-30 |