| NPI | 1164527933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY S. WELLMAN CAO, Board Member 206-838-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-01-06 |