| NPI | 1568585693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E BOYDEN Partner 360-895-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA AP30006085) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: WA DE00009045) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-09-11 |