NPI | 1891095105 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM CRAMER President 360-357-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WA 10599) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-11-02 |