| NPI | 1326442583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM SALEMY Owner 206-467-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60430558) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |