| NPI | 1306868203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN D GAGE Owner Managing Physician 360-413-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 602502551) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |