| NPI | 1861572034 |
|---|---|
| Other Name | NORTHWEST EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINCENT E. MATTEUCCI Treasurer 360-733-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-08-29 |