| NPI | 1770530271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 178949719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 178049719) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-05-16 |