| NPI | 1356340970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARRY Practice Manager 360-570-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 601774732) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-22 |