| NPI | 1699814012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE MABREY Billing Manager 360-533-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00024286) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |