| NPI | 1750026423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA STUIT Practice Administrator 360-752-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |