| NPI | 1255685434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN STEFFENS Administrator 360-896-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OR MD16861) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: WA MD00024816) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |