| NPI | 1851628333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CERAR Clinical Manager 360-752-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: WA 602939596) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |