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1909 214th St Se Bothell WA 98021-4412 | |
(425) 420-1655 | |
(425) 420-1651 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1909 214th St Se, Bothell, Washington |
Authorized Official Name and Position | Kimberly Holstein (DIRECTOR OF PATIENT FINANCIAL SERVI) |
Authorized Official Contact | 4252594041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1728 W Marine View Dr Suite 110 Everett WA 98201-2094 Ph: (425) 259-4041 | 1909 214th St Se Bothell WA 98021-4412 Ph: (425) 420-1655 |
NPI Number | 1760765598 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 10/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760765598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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