| NPI | 1346493806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A BECKER President 360-825-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WA OP00001317) |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-01-08 |