| NPI | 1306992037 |
|---|---|
| Former Legal Business Name | VANDERGRIEND & VANDERGRIEND |
| Entity Type | Organization |
| Authorized Contact | KELLY A EBERT Practice Manager 360-733-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 602762505) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-01-28 |