Providence Rochester Family Medicine (ffs) | |
18313 Paulsonst Sw Suite A Rochester WA 98579-9262 | |
(360) 273-8818 | |
Not Available |
Full Name | Providence Rochester Family Medicine (ffs) |
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Speciality | Family Medicine |
Location | 18313 Paulsonst Sw, Rochester, Washington |
Authorized Official Name and Position | Denise Marroni (CFO) |
Authorized Official Contact | 3604935203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Rochester Family Medicine (ffs) Po Box 34439 Seattle WA 98124-1439 Ph: (425) 525-6715 | Providence Rochester Family Medicine (ffs) 18313 Paulsonst Sw Suite A Rochester WA 98579-9262 Ph: (360) 273-8818 |
NPI Number | 1841503034 |
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Provider Enumeration Date | 07/16/2010 |
Last Update Date | 08/09/2011 |
Identifier | Type | State | Issuer |
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1841503034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |