| NPI | 1902228455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2025-05-05 |