| NPI | 1528000155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARRISON Administrator 425-670-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50c0001173) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-05-31 |