| Northshore Family Practice Pllc | |
|
12900 Ne 180th St Bothell WA 98011-5773 | |
| (425) 424-2100 | |
| Not Available |
| Full Name | Northshore Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 12900 Ne 180th St, Bothell, Washington |
| Authorized Official Name and Position | Barbara S Mendrey (OWNER) |
| Authorized Official Contact | 4254242100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Family Practice Pllc 12900 Ne 180th St Bothell WA 98011-5773 Ph: (425) 424-2100 | Northshore Family Practice Pllc 12900 Ne 180th St Bothell WA 98011-5773 Ph: (425) 424-2100 |
| NPI Number | 1811167620 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 04/09/2021 |
| Medicare PECOS PAC ID | 2062302763 |
|---|---|
| Medicare Enrollment ID | O20040317000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811167620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00033694 (Washington) | Primary |
| Provider Name | Steven W Barthel |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1730128893 PECOS PAC ID: 5294810826 Enrollment ID: I20080306000661 |
| Provider Name | Barbara S Mendrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588698179 PECOS PAC ID: 6406746106 Enrollment ID: I20110524000880 |
| Provider Name | Deanna L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801291935 PECOS PAC ID: 3375855760 Enrollment ID: I20190222002545 |
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