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12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 | |
(425) 316-5180 | |
(425) 316-5181 |
Full Name | |
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Speciality | Family Medicine |
Location | 12800 Bothell Everett Hwy, Everett, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3360 Portland OR 97208-3360 Ph: (866) 399-2983 | 12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 Ph: (425) 316-5180 |
NPI Number | 1821249939 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 04/08/2021 |
Identifier | Type | State | Issuer |
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1821249939 | NPI | - | NPPES |
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