| NPI | 1225335425 | 
|---|---|
| Doing Business As | PMG NW WA EVER VASCULAR SURG | 
| Entity Type | Organization | 
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2086S0129X | 
| Additional Taxonomies | 208600000X Surgery | 
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-02-24 | 
| Last Update Date | 2025-05-12 |