| Charis Family Clinic | |
|
23601 Highway 99 Ste A Edmonds WA 98026-9212 | |
| (206) 714-4476 | |
| (425) 732-4476 |
| Full Name | Charis Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 23601 Highway 99 Ste A, Edmonds, Washington |
| Authorized Official Name and Position | Deonne Jeanette Benedict (MANAGING MEMBER, LLC) |
| Authorized Official Contact | 2067144476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Family Clinic 23601 Highway 99 Ste A Edmonds WA 98026-9212 Ph: (206) 714-4476 | Charis Family Clinic 23601 Highway 99 Ste A Edmonds WA 98026-9212 Ph: (206) 714-4476 |
| NPI Number | 1194069187 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194069187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 602904773 (Washington) | Primary |
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