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Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Other names
Skagit Regional Clinics - Smokey Point
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER)
(360) 814-5838
Entity
Organization
Contact information
Practice address
3823 172ND ST NE, ARLINGTON, WA 98223-7735
(360) 618-5000
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 814-6724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/22/2014
Last updated
07/21/2022
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