| NPI | 1558480947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W. YOUNG Administrator 425-391-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-03-29 |