| NPI | 1801232483 |
|---|---|
| Doing Business As | PERMANENTLY CLOSED |
| Entity Type | Organization |
| Authorized Contact | SHAUN USHER Operations Manager 503-246-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WA MD00038333) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2021-08-17 |