| NPI | 1124438684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEPHEN NEIL Co President 360-604-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602806065) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-10-09 |