| NPI | 1518438712 |
|---|---|
| Doing Business As | ONE MEDICAL |
| Doing Business As | ONE MEDICAL WITH PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 261Q00000X | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-02-07 |