| NPI | 1366536880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN TROWBRIDGE Business Office Manager 360-449-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-10-08 |