| Optum - Shoreline | |
|
1201 N 175th St Shoreline WA 98133-5064 | |
| (425) 259-0966 | |
| Not Available |
| Full Name | Optum - Shoreline |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1201 N 175th St, Shoreline, Washington |
| Authorized Official Name and Position | George Go (BOARD PRESIDENT) |
| Authorized Official Contact | 4252590966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum - Shoreline Po Box 5127 Everett WA 98206-5127 Ph: (425) 258-3900 | Optum - Shoreline 1201 N 175th St Shoreline WA 98133-5064 Ph: (425) 259-0966 |
| NPI Number | 1851748578 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 6406752153 |
|---|---|
| Medicare Enrollment ID | O20161012001826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851748578 | NPI | - | NPPES |
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