| NPI | 1447286646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TROTTER Administrator 360-430-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 6004675663) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-10-15 |