| NPI | 1184615627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH A MILLER COO 360-678-7656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 207V00000X Obstetrics & Gynecology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-07-20 |