| Providence Physician Group | |
|
5007 Claremont Way Everett WA 98203-3321 | |
| (425) 258-7050 | |
| (425) 258-7055 |
| Full Name | Providence Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5007 Claremont Way, Everett, Washington |
| Authorized Official Name and Position | Barbara Schumacher (PRO FEE CREDENTIALING MANAGER) |
| Authorized Official Contact | 4252587050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Physician Group 909 N Broadway Pbo/credentialing Everett WA 98201-1409 Ph: (425) 317-0246 | Providence Physician Group 5007 Claremont Way Everett WA 98203-3321 Ph: (425) 258-7050 |
| NPI Number | 1225119050 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225119050 | NPI | - | NPPES |
| 7095300 | Medicaid | WA |
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