| NPI | 1588113062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MOON Director Of Revenue And Finance 206-538-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA 604032151) |
| Additional Taxonomies | 208VP0000X (Licence: WA 604032151) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2025-07-21 |