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21911 76th Ave W Suite 110 Edmonds WA 98026-7903 | |
(425) 640-4950 | |
(425) 640-4958 |
Full Name | |
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Speciality | Family Medicine |
Location | 21911 76th Ave W, Edmonds, Washington |
Authorized Official Name and Position | Katherine Garton (CLINIC MANAGER) |
Authorized Official Contact | 4256404951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21911 76th Ave W Suite 110 Edmonds WA 98026-7903 Ph: (425) 640-4950 | 21911 76th Ave W Suite 110 Edmonds WA 98026-7903 Ph: (425) 640-4950 |
NPI Number | 1588717250 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 03/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588717250 | NPI | - | NPPES |
7060742 | Medicaid | WA | |
51069 | Other | WA | L & I |
C46531 | Other | WA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 312 003 974 (Washington) | Primary |
Hope Family Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 195th St Sw, Ste 203, Edmonds, WA 98026 Phone: 425-744-0709 Fax: 425-771-1470 | |
Spero Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 James St, Suite 104, Edmonds, WA 98020 Phone: 425-412-8133 Fax: 425-412-8136 | |
Puget Sound Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7315 212th St Sw, Suite 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 | |
Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23753 76th Ave W, Edmonds, WA 98026 Phone: 206-618-4692 |