Pb Primary Care Clinic LLC
Clinic/Center, Primary Care in Federal Way, WA. Organization (NPI-2).
NPI number1346567666
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1346567666
- Entity type
- Organization (NPI-2)
- Legal business name
- Pb Primary Care Clinic LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2010
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Philip N. Buenvenida, MD (Former Legal Business Name)
- Pb Primary Care Clinic LLC (Doing Business As)
Practice location
34617 11th Pl S Ste 204Federal Way, WA 98003-8706
Phone 253-874-8445 · Fax 253-874-2085
Mailing address
34617 11th Pl S Ste 204Federal Way, WA 98003-8706
Phone 253-874-8445 · Fax 253-874-2085
Other practice locations
34616 11th Pl S Ste 6
Federal Way, WA 98003-8705
Federal Way, WA 98003-8705
Phone 253-874-8445
Authorized official
Philip Buenvenida
Owner
2538748445
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