| NPI | 1295725133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MILLAR Director, Revenue Cycle 360-788-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 602490356) |
| Enumeration Date | 2005-10-23 |
| Last Update Date | 2021-02-05 |