| NPI | 1801497995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Del Cred & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine |
| 261QP2000X Clinic/Center Physical Therapy | |
| 363AS0400X Physician Assistant Surgical | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-08-11 |