| NPI | 1669427043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J HUFFMAN Administrator 360-823-2012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA PENDING) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-06-29 |