| NPI | 1710243514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GAY ECHOLS President 360-357-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 6463) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |