| NPI | 1831186766 |
|---|---|
| Former Legal Business Name | THE EVERETT CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-258-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 291U00000X Clinical Medical Laboratory (Licence: WA 50D0662654) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-04-08 |