| NPI | 1982745568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE M SWANSTROM President 509-483-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 601074808) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-10-09 |