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 |
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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 |
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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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