| NPI | 1316061765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLANDA M BARNETT VP Of Operations 360-435-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60651816) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-08 |