| Canyon Creek Clinic, Pllc | |
|
19125 N Creek Pkwy Suite 204 Bothell WA 98011-8035 | |
| (425) 424-2201 | |
| (425) 398-4172 |
| Full Name | Canyon Creek Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19125 N Creek Pkwy, Bothell, Washington |
| Authorized Official Name and Position | Cathy G Knoth (OFFICE MANAGER) |
| Authorized Official Contact | 4254242201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Creek Clinic, Pllc 19125 N Creek Pkwy Suite 204 Bothell WA 98011-8035 Ph: (425) 424-2201 | Canyon Creek Clinic, Pllc 19125 N Creek Pkwy Suite 204 Bothell WA 98011-8035 Ph: (425) 424-2201 |
| NPI Number | 1447451216 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447451216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
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