| NPI | 1053403394 |
|---|---|
| Doing Business As | ONE MEDICAL |
| Doing Business As | ONE MEDICAL WITH PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-04-04 |