| NPI | 1760808836 |
|---|---|
| Doing Business As | OVERLAKE REPRODUCTIVE HEALTH INC.- AMBULATORY SURGICAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | KEVIN M JOHNSON Owner 425-646-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60350164) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |