| Joo Family Clinic | |
|
22618 Highway 99 Ste 106 Edmonds WA 98026-8395 | |
| (425) 409-9247 | |
| Not Available |
| Full Name | Joo Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 22618 Highway 99 Ste 106, Edmonds, Washington |
| Authorized Official Name and Position | Misook Joo (DNP) |
| Authorized Official Contact | 4254099247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joo Family Clinic 22618 Highway 99 Ste 106 Edmonds WA 98026-8395 Ph: (425) 409-9247 | Joo Family Clinic 22618 Highway 99 Ste 106 Edmonds WA 98026-8395 Ph: (425) 409-9247 |
| NPI Number | 1336491570 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 08/03/2019 |
| Medicare PECOS PAC ID | 9335390368 |
|---|---|
| Medicare Enrollment ID | O20121121000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336491570 | NPI | - | NPPES |
| 1336491570 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dosoon Soh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699004234 PECOS PAC ID: 1658414164 Enrollment ID: I20100205000545 |
| Provider Name | Misook Joo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598011371 PECOS PAC ID: 0244481273 Enrollment ID: I20121121000198 |
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