| Medtriq Treatment Center Llc | |
|
2603 Bridgeport Way W Ste F University Place WA 98466-4724 | |
| (253) 666-6780 | |
| (253) 666-6793 |
| Full Name | Medtriq Treatment Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2603 Bridgeport Way W Ste F, University Place, Washington |
| Authorized Official Name and Position | Ajainder Shergill (OWNER) |
| Authorized Official Contact | 3603341882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medtriq Treatment Center Llc 1567 Highlands Dr Ne Ste 110-345 Issaquah WA 98029-6245 Ph: () - | Medtriq Treatment Center Llc 2603 Bridgeport Way W Ste F University Place WA 98466-4724 Ph: (253) 666-6780 |
| NPI Number | 1215446729 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 604172507 (Washington) | Primary |
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