| NPI | 1487821633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J ELDREDGE VP / COO 360-748-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601061994) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: WA 601061994) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-07-18 |