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3501 Shelby Rd Suite B Lynnwood WA 98087-3599 | |
(425) 742-9119 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3501 Shelby Rd, Lynnwood, Washington |
Authorized Official Name and Position | Corey Don Friesen (CEO ADMINISTRATOR) |
Authorized Official Contact | 4257429119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3501 Shelby Rd Suite B Lynnwood WA 98087-3599 Ph: (425) 742-9119 | 3501 Shelby Rd Suite B Lynnwood WA 98087-3599 Ph: (425) 742-9119 |
NPI Number | 1003809229 |
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Provider Enumeration Date | 08/23/2005 |
Last Update Date | 02/23/2016 |
Identifier | Type | State | Issuer |
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1003809229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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