| Advanced Healthcare Northwest | |
|
1427 Jefferson Ave Suite102 Enumclaw WA 98022-3649 | |
| (360) 802-0803 | |
| (360) 802-0806 |
| Full Name | Advanced Healthcare Northwest |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1427 Jefferson Ave, Enumclaw, Washington |
| Authorized Official Name and Position | Michael Tepper (PRESIDENT) |
| Authorized Official Contact | 3608020803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare Northwest Po Box 3509 Renton WA 98056-0016 Ph: (360) 802-0803 | Advanced Healthcare Northwest 1427 Jefferson Ave Suite102 Enumclaw WA 98022-3649 Ph: (360) 802-0803 |
| NPI Number | 1437223765 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437223765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 602-353-095 (Washington) | Primary |
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