| NPI | 1750663084 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST EYE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBYN WALLACE Administrator 253-759-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60191358) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |