| NPI | 1417276312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILLIAMSON Practice Administrator 206-965-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60126789) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-02-05 |