| Molina Healthcare Of Washington, Inc | |
|
21540 30th Dr Se Ste 400 Bothell WA 98021-7015 | |
| (888) 562-5442 | |
| (844) 861-1929 |
| Full Name | Molina Healthcare Of Washington, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 21540 30th Dr Se Ste 400, Bothell, Washington |
| Authorized Official Name and Position | Joseph White (MHI-CFO) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Healthcare Of Washington, Inc 200 Oceangate Ste 100 Long Beach CA 90802-4317 Ph: (888) 562-5442 | Molina Healthcare Of Washington, Inc 21540 30th Dr Se Ste 400 Bothell WA 98021-7015 Ph: (888) 562-5442 |
| NPI Number | 1659897163 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659897163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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