| Sky Valley Family Medicine, Ps | |
|
615 W Stevens Ave Sultan WA 98294-9458 | |
| (360) 793-0201 | |
| (360) 793-2429 |
| Full Name | Sky Valley Family Medicine, Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 615 W Stevens Ave, Sultan, Washington |
| Authorized Official Name and Position | Mark S Raney (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3607930201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Valley Family Medicine, Ps 615 W Stevens Ave Sultan WA 98294-9458 Ph: (360) 793-0201 | Sky Valley Family Medicine, Ps 615 W Stevens Ave Sultan WA 98294-9458 Ph: (360) 793-0201 |
| NPI Number | 1093832057 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093832057 | NPI | - | NPPES |
| 7116882 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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