Kaiser Foundation Health Plan Of Washington
Clinic/Center, Multi-Specialty in Marysville, WA. Organization (NPI-2).
NPI number1104599232
StatusActive
Last updated in NPPESJul 26, 2021
Details
- NPI
- 1104599232
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of Washington
- Organization subpart
- Yes
- Enumeration date
- Jul 26, 2021
- Certification date
- Jul 26, 2021
- Last updated
- Jul 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Smokey Point Medical Center (Doing Business As)
Practice location
2335 172nd St NeMarysville, WA 98271-4753
Phone 360-651-1550 · Fax 360-651-1560
Mailing address
Po Box 34584Seattle, WA 98124-1584
Phone 509-241-7349
Authorized official
Michelle M Barlow
Manager
5092417343
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