| NPI | 1184640591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL E COOR Owner 360-413-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 06-00027820) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-12-10 |