| NPI | 1770006330 |
|---|---|
| Other Name | OPTUM - BOTHELL |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WA 50D2137850) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-04-11 |