| NPI | 1376551002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD SAUL GOFFE Medical Director 206-267-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: 602351285) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-03-14 |