NPI | 1700396652 |
---|---|
Doing Business As | WOODCREEK PEDIATRICS BY MARY BRIDGE CHILDREN'S |
Entity Type | Organization |
Authorized Contact | ANNA LOOMIS Sr VP Chief Financial Office 253-403-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
363AM0700X Physician Assistant, Medical | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |