| NPI | 1508048091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE EUGENE HESS Doctor/Owner 360-754-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: WA PO00000517) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-03-31 |