NPI | 1811041692 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY WALLACE V.P. And CFO 206-987-2004 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WA H-014) |
Additional Taxonomies | 174400000X Specialist (Licence: WA H-014) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2014-10-20 |