| NPI | 1790099471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 60163160) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WA 60163160) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2025-05-16 |