| NPI | 1336559251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BARNICK Clinic Director And Physician 360-314-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: WA CH60032144) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |