| NPI | 1649853367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MIGGINS Member 206-409-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |