| NPI | 1144370784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOOST L KNOPS CFO 360-733-0640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 00010482) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-05-31 |