| NPI | 1063663458 |
|---|---|
| Doing Business As | PMG NW WA MARYSVILLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Director Reimb Regulatory Strategy 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2021-03-11 |