| NPI | 1114792439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO N DINH Owner 206-721-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |