| NPI | 1962849307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E LARHS Medical Director 503-246-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WA MD00038333) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2021-08-17 |