NPI | 1811932791 |
---|---|
Entity Type | Organization |
Authorized Contact | GRANT D AAKER Medical Director 360-456-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 261QA1903X) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2025-03-26 |