Pmg Nw Wa Monroe Family Medicine | |
19200 N Kelsey St Monroe WA 98272-1431 | |
(360) 794-7994 | |
(360) 805-4755 |
Full Name | Pmg Nw Wa Monroe Family Medicine |
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Speciality | Family Medicine |
Location | 19200 N Kelsey St, Monroe, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pmg Nw Wa Monroe Family Medicine Po Box 3360 Portland OR 97208-3360 Ph: (866) 366-2983 | Pmg Nw Wa Monroe Family Medicine 19200 N Kelsey St Monroe WA 98272-1431 Ph: (360) 794-7994 |
NPI Number | 1225289333 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 04/29/2021 |
Identifier | Type | State | Issuer |
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1225289333 | NPI | - | NPPES |
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