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34503 9th Ave S Ste 100 Federal Way WA 98003-8727 | |
| (253) 874-2227 | |
| (253) 835-8000 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 34503 9th Ave S, Federal Way, Washington |
| Authorized Official Name and Position | Cliff Robertson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2537796101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
34503 9th Ave S Ste 100 Federal Way WA 98003-8727 Ph: (253) 874-2227 | 34503 9th Ave S Ste 100 Federal Way WA 98003-8727 Ph: (253) 874-2227 |
| NPI Number | 1902854029 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902854029 | NPI | - | NPPES |
| 7095144 | Medicaid | WA | |
| 8945603 | Other | WA | STATE CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00042134 (Washington) | Primary |
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