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Organization
FRANCISCAN MEDICAL GROUP
Active
Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
St Michael Emergency & Urgent Care, Virginia Mason Franciscan Health Emergency & Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA JO WITTORF (REGION VP FINANCE, NORTHWEST)
(509) 551-5319
Entity
Organization
Contact information
Practice address
4205 KITSAP WAY, BREMERTON, WA 98312-2447
(360) 782-7780
(360) 782-7789
Mailing address
PO BOX 31001-1518 ATTN: GOVERNMENT PAYER ENROLLMENT, PASADENA, CA 91110-1518
(253) 779-6260
(253) 779-6294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335508
—
WA
Enumeration date
01/06/2025
Last updated
09/15/2026
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