# OPTUM CARE WASHINGTON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVERETT PHYSICIANS, INC. P.S.
- **Other names:** Optum - Kemp Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154318103
- **Legal business name:** EVERETT PHYSICIANS, INC. P.S.
- **Authorized official:** GEORGE GO MD (BOARD PRESIDENT)
- **Authorized official phone:** (425) 259-0966

## Contact information

- **Practice address:** 3927 RUCKER AVE, SUITE101, EVERETT, WA 98201-4833
- **Practice address phone:** (425) 317-3950
- **Mailing address:** PO BOX 5127, EVERETT, WA 98206-5127
- **Mailing address phone:** (425) 317-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 04/08/2024