| NPI | 1447413091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARFTH A MILLER COO 360-678-7656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA H156) |
| Additional Taxonomies | 208800000X Urology |
| 282NC0060X General Acute Care Hospital Critical Access (Licence: WA H156) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-09-26 |