| Eatonville Integrative Medicine | |
|
320 Center Street East Eatonville WA 98328-7449 | |
| (360) 832-2222 | |
| (360) 859-9592 |
| Full Name | Eatonville Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Center Street East, Eatonville, Washington |
| Authorized Official Name and Position | Melissa Bronoske (PRESIDENT) |
| Authorized Official Contact | 2536774894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eatonville Integrative Medicine Po Box 1924 Eatonville WA 98328-1924 Ph: (360) 832-2222 | Eatonville Integrative Medicine 320 Center Street East Eatonville WA 98328-7449 Ph: (360) 832-2222 |
| NPI Number | 1962137125 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 7214304690 |
|---|---|
| Medicare Enrollment ID | O20221028000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962137125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Katy Lyn Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083151880 PECOS PAC ID: 1456635549 Enrollment ID: I20170309002164 |
Elk Hills Massage & Bodywork Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Center St E, Suite A, Eatonville, WA 98328 Phone: 253-569-4942 Fax: 360-832-1722 |