| Plateau Family Medicine, Ps | |
|
853 Watson St N Ste 200 Enumclaw WA 98022-9348 | |
| (360) 825-8300 | |
| (360) 825-9255 |
| Full Name | Plateau Family Medicine, Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 853 Watson St N Ste 200, Enumclaw, Washington |
| Authorized Official Name and Position | Deidre L Feeney (OWNER) |
| Authorized Official Contact | 3608258300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plateau Family Medicine, Ps 853 Watson St N Ste 200 Enumclaw WA 98022-9348 Ph: (360) 825-8300 | Plateau Family Medicine, Ps 853 Watson St N Ste 200 Enumclaw WA 98022-9348 Ph: (360) 825-8300 |
| NPI Number | 1033222146 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033222146 | NPI | - | NPPES |
| 7127053 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 602444776 (Washington) | Primary |
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