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11913 Ne 195th St Bothell WA 98011-3147 | |
(425) 489-3100 | |
(425) 489-3183 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 11913 Ne 195th St, Bothell, Washington |
Authorized Official Name and Position | Kathy Beery (DIRECTOR) |
Authorized Official Contact | 2066301818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34584 Seattle WA 98124-1584 Ph: (509) 241-7349 | 11913 Ne 195th St Bothell WA 98011-3147 Ph: (425) 489-3100 |
NPI Number | 1205127222 |
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Provider Enumeration Date | 04/25/2011 |
Last Update Date | 06/17/2021 |
Identifier | Type | State | Issuer |
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1205127222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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