| |
6342 Littlerock Rd Sw Tumwater WA 98512-7332 | |
(360) 357-8822 | |
(360) 357-8823 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 6342 Littlerock Rd Sw, Tumwater, Washington |
Authorized Official Name and Position | Christopher L Bredeson (CEO) |
Authorized Official Contact | 3607404001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 418 Napavine WA 98565-0418 Ph: (360) 357-8822 | 6342 Littlerock Rd Sw Tumwater WA 98512-7332 Ph: (360) 357-8822 |
NPI Number | 1528227501 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
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1528227501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Washington) | Primary |
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