Ridgefield Family Medicine, Pllc | |
8507 S 5th St Suite 113 Ridgefield WA 98642-3421 | |
(360) 887-9494 | |
(360) 887-9498 |
Full Name | Ridgefield Family Medicine, Pllc |
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Speciality | Family Medicine |
Location | 8507 S 5th St, Ridgefield, Washington |
Authorized Official Name and Position | Josephine Elizabeth Drew (OWNER) |
Authorized Official Contact | 3608879494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ridgefield Family Medicine, Pllc 8507 S 5th St Suite 113 Ridgefield WA 98642-3421 Ph: (360) 887-9494 | Ridgefield Family Medicine, Pllc 8507 S 5th St Suite 113 Ridgefield WA 98642-3421 Ph: (360) 887-9494 |
NPI Number | 1407229719 |
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Provider Enumeration Date | 11/09/2015 |
Last Update Date | 10/08/2019 |
Identifier | Type | State | Issuer |
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1407229719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ridgefield Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 Phone: 360-887-9494 Fax: 360-887-9498 |