| NPI | 1619530839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MOON Contracting Coordinator 206-538-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-05-05 |