| Fir Creek Pediatrics | |
|
9101 Bridgeport Way Sw Bld A Lakewood WA 98499-2419 | |
| (253) 565-7686 | |
| (253) 566-0210 |
| Full Name | Fir Creek Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9101 Bridgeport Way Sw, Lakewood, Washington |
| Authorized Official Name and Position | Michelle M Hayes (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2535657686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fir Creek Pediatrics 9101 Bridgeport Way Sw Bld A Lakewood WA 98499-2419 Ph: (253) 565-7686 | Fir Creek Pediatrics 9101 Bridgeport Way Sw Bld A Lakewood WA 98499-2419 Ph: (253) 565-7686 |
| NPI Number | 1851532659 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851532659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP30003701 (Washington) | Primary |
| 261QP2300X | Clinic/center - Primary Care | RN00093723 (Washington) | Secondary |
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