| NPI | 1265522932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D. MEHLHOFF Dr./President 360-533-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 601 803 571) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-05-20 |