| NPI | 1295700086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HESS Business Office Manager 253-272-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |