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247 Professional Way Shelton WA 98584-0011 | |
(360) 426-3102 | |
(360) 426-9866 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 247 Professional Way, Shelton, Washington |
Authorized Official Name and Position | Eric Moll (CEO) |
Authorized Official Contact | 3604279554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1668 Shelton WA 98584 Ph: (360) 426-3102 | 247 Professional Way Shelton WA 98584-0011 Ph: (360) 426-3102 |
NPI Number | 1356439699 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 03/24/2020 |
Identifier | Type | State | Issuer |
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1356439699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Olympic Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 Fax: 360-462-2500 | |
Northwest Indian Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Se Whitener Rd, Shelton, WA 98584 Phone: 360-470-1474 |