| NPI | 1588802466 |
|---|---|
| Other Name | SALMON CREEK PLASTIC SURGERY PC/ASC FACILITY |
| Entity Type | Organization |
| Authorized Contact | RICHARD K GREEN Business Owner / Plastic Surgeon 360-823-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602673506) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2022-12-29 |