| NPI | 1356960769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BRIAN MOON Director Of Revenue And Finance 206-538-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-07-21 |