| Edmonds Health Clinic | |
|
617 5th Ave S Edmonds WA 98020-3452 | |
| (425) 697-2100 | |
| (425) 697-5556 |
| Full Name | Edmonds Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 617 5th Ave S, Edmonds, Washington |
| Authorized Official Name and Position | Ella Yepraksia Bostanjian (OWNER) |
| Authorized Official Contact | 4256972100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmonds Health Clinic 617 5th Ave S Edmonds WA 98020-3452 Ph: (425) 697-2100 | Edmonds Health Clinic 617 5th Ave S Edmonds WA 98020-3452 Ph: (425) 697-2100 |
| NPI Number | 1649553538 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 0446423255 |
|---|---|
| Medicare Enrollment ID | O20111021000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649553538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60039274 (Washington) | Primary |
| Provider Name | Ella Y Bostanjian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871735647 PECOS PAC ID: 7315097227 Enrollment ID: I20090616000335 |
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