| NPI | 1851486195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MOON Contract Manager 206-538-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-08 |