| NPI | 1780906263 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STANLEY HERSCHBERG President 206-362-6300  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 40000692)  | 
| Enumeration Date | 2010-02-24 | 
| Last Update Date | 2010-02-24 |