| NPI | 1336323047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MILLAR Director, Revenue Cycle 360-788-9004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-11-13 |