| St. Joseph Medical Clinic | |
|
1708 Yakima Ave Ste 110 Tacoma WA 98405-5307 | |
| (253) 627-9151 | |
| Not Available |
| Full Name | St. Joseph Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1708 Yakima Ave, Tacoma, Washington |
| Authorized Official Name and Position | Cliff A Robertson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2537796101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Medical Clinic 1708 Yakima Ave Ste 110 Tacoma WA 98405-5307 Ph: (253) 627-9151 | St. Joseph Medical Clinic 1708 Yakima Ave Ste 110 Tacoma WA 98405-5307 Ph: (253) 627-9151 |
| NPI Number | 1386679207 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386679207 | NPI | - | NPPES |
| 7095110 | Medicaid | WA | |
| 0126510 | Other | WA | STATE L&I |
| 7112451 | Medicaid | WA | |
| 2023166 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00035180 (Washington) | Primary |
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