| NPI | 1871538488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A GADBOIS Operations Manager 360-336-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WA 601-941-654) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |