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Organization
CHERRY HEIGHTS FAMILY MEDICINE OF WASHINGTON
Active
Organization
CHERRY HEIGHTS FAMILY MEDICINE OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY FRESTON (OWNER)
(208) 985-2260
Entity
Organization
Contact information
Practice address
1861 CLARET LOOP NW, POULSBO, WA 98370-8380
(208) 650-4888
Mailing address
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2178
(208) 650-4888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/17/2024
Last updated
08/02/2024
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