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17639 100th Ave Sw Vashon WA 98070-5234 | |
(206) 463-3696 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 17639 100th Ave Sw, Vashon, Washington |
Authorized Official Name and Position | Gail Lynn Fulton (PHYSICIAN OWNER) |
Authorized Official Contact | 2064633696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box N Vashon WA 98070-0360 Ph: (206) 463-3696 | 17639 100th Ave Sw Vashon WA 98070-5234 Ph: (206) 463-3696 |
NPI Number | 1629352984 |
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Provider Enumeration Date | 10/05/2011 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
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1629352984 | NPI | - | NPPES |
8126757 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD00027813 (Washington) | Primary |
Vashon Natural Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18913 Vashon Hwy Sw, Vashon, WA 98070 Phone: 206-463-4778 Fax: 206-463-4791 | |
Vashon Island Midwifery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10613 Sw 138th St, Vashon, WA 98070 Phone: 206-804-8166 | |