NPI | 1588603120 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY MELLOTT Director Clinical Operations 360-738-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601644971) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2008-07-07 |