| NPI | 1336637081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE OH Owner 206-714-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD60470774) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA MD60470774) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD60470774) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-07-03 |