NPI | 1063663458 |
---|---|
Doing Business As | PMG NW WA MARYSVILLE CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
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 | 2025-05-12 |