| 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 |