Franciscan Medical Group
Family Medicine in University Place, WA. Organization (NPI-2).
NPI number1376572065
StatusActive
Last updated in NPPESJun 24, 2009
Details
- NPI
- 1376572065
- Entity type
- Organization (NPI-2)
- Legal business name
- Franciscan Medical Group
- Organization subpart
- Yes
- Enumeration date
- Jul 3, 2006
- Last updated
- Jun 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | WA |
Other names
- University Place Medical Clinic (Doing Business As)
Practice location
7210 40th St WSte 100
University Place, WA 98466-4318
Phone 253-564-0170
Mailing address
7210 40th St WSte 100
University Place, WA 98466-4318
Phone 253-564-0170
Authorized official
Cliff A Robertson
Chief Medical Officer
2537796101
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