| NPI | 1902034770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE FOX LARRABEE Physician/Owner 206-386-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |