| NPI | 1558333203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RALPH WADDINGHAM Medical Officer 206-217-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient (Licence: WA PA10004424) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |