| NPI | 1427321405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER ROSE ARENDS Practice Manager 206-420-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: WA MD00043254) |
| 208600000X Surgery | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2025-11-06 |