| NPI | 1598205908 |
|---|---|
| Other Name | OPTUM - TOTEM LAKE |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 291U00000X Clinical Medical Laboratory (Licence: WA 50D0704127) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-04-10 |