| Eagle Harbor Family Medicine Pllc | |
|
600 Winslow Way E Ste 114 Bainbridge Island WA 98110-3252 | |
| (206) 842-5979 | |
| (206) 842-4124 |
| Full Name | Eagle Harbor Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Winslow Way E Ste 114, Bainbridge Island, Washington |
| Authorized Official Name and Position | Linda Marie Pedersen (OWNER) |
| Authorized Official Contact | 3606263133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Harbor Family Medicine Pllc 600 Winslow Way E Ste 114 Bainbridge Island WA 98110-3252 Ph: (206) 842-5979 | Eagle Harbor Family Medicine Pllc 600 Winslow Way E Ste 114 Bainbridge Island WA 98110-3252 Ph: (206) 842-5979 |
| NPI Number | 1912418914 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912418914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP20004070 (Washington) | Primary |
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