Enumclaw Internal Medicine And Diagnostics, Ps | |
1427 Jefferson Ave Suite # 102 Enumclaw WA 98022-3649 | |
(360) 802-0803 | |
(360) 802-0806 |
Full Name | Enumclaw Internal Medicine And Diagnostics, Ps |
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Speciality | Internal Medicine |
Location | 1427 Jefferson Ave, Enumclaw, Washington |
Authorized Official Name and Position | Emitis K Hosoda (PRESIDENT) |
Authorized Official Contact | 3608020803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Enumclaw Internal Medicine And Diagnostics, Ps 1427 Jefferson Ave Suite # 102 Enumclaw WA 98022-3649 Ph: (360) 802-0803 | Enumclaw Internal Medicine And Diagnostics, Ps 1427 Jefferson Ave Suite # 102 Enumclaw WA 98022-3649 Ph: (360) 802-0803 |
NPI Number | 1023281623 |
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Provider Enumeration Date | 04/04/2008 |
Last Update Date | 10/10/2018 |
Medicare PECOS PAC ID | 5799672234 |
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Medicare Enrollment ID | O20040301000704 |
Identifier | Type | State | Issuer |
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1023281623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Emitis K Hosoda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104994250 PECOS PAC ID: 3072400530 Enrollment ID: I20040618001349 |
Provider Name | Rhonda E Martinez-mcfarland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346434552 PECOS PAC ID: 7113231549 Enrollment ID: I20150909002406 |
Plateau Family Medicine, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 853 Watson St N Ste 200, Enumclaw, WA 98022 Phone: 360-825-8300 Fax: 360-825-9255 | |
Foothills Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022 Phone: 360-825-8900 | |
Advanced Healthcare Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Jefferson Ave, Suite102, Enumclaw, WA 98022 Phone: 360-802-0803 Fax: 360-802-0806 | |
Tanya Wilke Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022 Phone: 360-825-2849 Fax: 360-825-5381 | |
Rainier Family Medicine & Pediatrics Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 853 Watson St N Ste 201, Enumclaw, WA 98022 Phone: 360-768-4045 Fax: 360-226-3942 | |
Franciscan Medical Clinic-enumclaw Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-6511 |