| NPI | 1821787334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J PRICE Operations Supervisor 206-518-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2024-07-26 |