| |
1830 Bickford Ave, Suite 209, Snohomish, WA 98290-1749 | |
(425) 330-0633 | |
(360) 568-7779 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 1830 Bickford Ave, Snohomish, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306870365 | NPI | - | NPPES |
0179382 | Other | WA | DEPT. OF LABOR & INDUSTRY |
8930199 | Other | WA | L&I CRIME VICTIMS |
7682230 | Medicaid | WA | |
9055039 | Medicaid | WA | |
1182780003 | Other | WA | DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | (Washington) | Primary |
261Q00000X | Clinic/center | (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
1830 Bickford Ave, Suite 209, Snohomish, WA 98290-1749 Ph: (425) 330-0633 | 1830 Bickford Ave, Suite 209, Snohomish, WA 98290-1749 Ph: (425) 330-0633 |