| |
1314 Auburn Way N Auburn WA 98002-4109 | |
(253) 237-3405 | |
(253) 426-3096 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1314 Auburn Way N, Auburn, Washington |
Authorized Official Name and Position | Courtni D Doherty (OWNER) |
Authorized Official Contact | 2532373405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1314 Auburn Way N Auburn WA 98002-4109 Ph: (253) 237-3405 | 1314 Auburn Way N Auburn WA 98002-4109 Ph: (253) 237-3405 |
NPI Number | 1326418310 |
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Provider Enumeration Date | 10/02/2015 |
Last Update Date | 01/28/2025 |
Certification Date | 01/28/2025 |
Identifier | Type | State | Issuer |
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1326418310 | NPI | - | NPPES |
20706086 | Medicaid | WA |
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