| Orchard Medical Clinic | |
|
5320 Orchard St W University Place WA 98467 | |
| (253) 474-7100 | |
| (253) 474-2677 |
| Full Name | Orchard Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 5320 Orchard St W, University Place, Washington |
| Authorized Official Name and Position | Glenn A Pacio (OWNER) |
| Authorized Official Contact | 2534747100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Medical Clinic 5320 Orchard St W University Place WA 98467 Ph: (925) 347-4710 | Orchard Medical Clinic 5320 Orchard St W University Place WA 98467 Ph: (253) 474-7100 |
| NPI Number | 1770751083 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770751083 | NPI | - | NPPES |
| 1115922 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00038095 (Washington) | Primary |
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