| NPI | 1427207802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE ANNA GRIFFIN Owner 360-733-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP00002031) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA OP00002031) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |