| NPI | 1407223985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA 601484763) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: WA 601484763) |
| 231H00000X Audiologist (Licence: WA 601484763) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-05-31 |