| NPI | 1295883700 |
|---|---|
| Former Legal Business Name | CASCADE UROLOGY CONSULTANTS P. S. INC |
| Entity Type | Organization |
| Authorized Contact | MANSEL K KEVWITCH Owner 360-671-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA 601949981) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-07-29 |