| NPI | 1780938480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E CHRISTOPHER OUTLUND President/Owner 360-672-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C54671) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |