| NPI | 1346396082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE A MILLER Partner 360-733-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601885418) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-05-24 |