| NPI | 1528238284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BETH VANIVER President 206-292-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00045935) |
| Enumeration Date | 2008-03-08 |
| Last Update Date | 2008-03-08 |