| Vmc Lake Sawyer Primary Care | |
|
27230 216th Ave Se Ste D Maple Valley WA 98038-0000 | |
| (425) 656-4100 | |
| (425) 656-4109 |
| Full Name | Vmc Lake Sawyer Primary Care |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 27230 216th Ave Se, Maple Valley, Washington |
| Authorized Official Name and Position | Melissa Farley (TECHNICAL COORDINATOR) |
| Authorized Official Contact | 4259176282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmc Lake Sawyer Primary Care 3600 Lind Ave Sw Suite 100 Renton WA 98055-4934 Ph: (425) 656-5412 | Vmc Lake Sawyer Primary Care 27230 216th Ave Se Ste D Maple Valley WA 98038-0000 Ph: (425) 656-4100 |
| NPI Number | 1700833480 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700833480 | NPI | - | NPPES |
| 7024516 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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