| NPI | 1144404310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN C OSBORN Authorized Official 360-753-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: WA 602 692 781) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |