| NPI | 1376721357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM URSPRUNG Clinic Director 206-526-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA CH34633) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-07-01 |