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 |
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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 |
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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 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447451216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
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